Individual provider Active NPI

Jeremy Mark Pantin, M.D.

  • Hematology & Oncology Physician
  • Nashville, TN
National Provider Identifier
1407033376
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
58064 Issued in TN
Practice address
2410 Patterson St Ste 500
Nashville, TN 37203-6521
Phone
(615) 342-4912
Fax
(615) 342-4913
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 066390 GA
Hematology & Oncology Physician 207RH0003X D0066141 MD
Hematology & Oncology Physician 207RH0003X 58064 TN Primary

Addresses

Primary practice location

2410 Patterson St Ste 500
Nashville, TN 37203-6521

Mailing address

2410 Patterson St Ste 500
Nashville, TN 37203-6521
Phone (615) 342-4912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120314000400 GA Practitioner - Hematology/Oncology 3375702145 Reassigns benefits to 1 organization
I20190525000039 TN Practitioner - Hematology/Oncology 3375702145 Reassigns benefits to 1 organization
I20200501002291 KY Practitioner - Internal Medicine 3375702145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Bone Marrow Transplant, LLCGroup PAC ID 6204146244, 12 clinicians

Practice addresses (Care Compare)

1325 Andrea St
Suite 201
Bowling Green, KY 42104-5854
Phone (615) 342-4912

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2410 Patterson St
Suite 500
Nashville, TN 37203-6521
Phone (615) 342-7440

56 Murray Guard Dr
Jackson, TN 38305-3661
Phone (615) 342-7440

58 Murray Guard Dr
Jackson, TN 38305-3661
Phone (615) 342-7440

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
066390GAMDHematology & Oncology Physician
D0066141MDMDHematology & Oncology Physician
58064TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Apr 1, 2012 Accepting new patients
Au Medical Associates Inc CurrentSince Apr 1, 2012 Accepting new patients
Tristar Bone Marrow Transplant, LLC Hematology & Oncology CurrentSince Mar 20, 2019 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1325 Andrea St
Ste 201
Bowling Green, KY 42104
Phone (270) 393-9663

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2410 Patterson St
Ste 500
Nashville, TN 37203
Phone (615) 340-4611

Interoperability endpoints

  • Direct secure messaging: jeremymark.alexanderpantin@hca1.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1407033376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036521",
            "telephone_number": "615-342-4912",
            "fax_number": "615-342-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036521",
            "telephone_number": "615-342-4912",
            "fax_number": "615-342-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTIN",
        "first_name": "JEREMY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "066390",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0066141",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "58064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.