Active NPI
Kent Jerel Lofley, D.O.
- Family Medicine Physician
- Hendersonville, TN
National Provider Identifier
1407160476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4530
- Practice address
- 109 Hazel Path Ste 5
Hendersonville, TN 37075-3888 - Phone
- (615) 266-6465
- Fax
- (615) 991-0905
- NPI assigned
- Aug 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4530 | TN | Primary |
Addresses
Primary practice location
109 Hazel Path Ste 5
Hendersonville, TN 37075-3888
Mailing address
109 Hazel Path Ste 5
Hendersonville, TN 37075-3888
Phone (615) 266-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4530 | Other | TN | TENNESSEE BOARD OF OSTEOPATHIC EXAMINATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 21, 2022 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4530 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1407160476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HAZEL PATH STE 5",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753888",
"telephone_number": "615-266-6465",
"fax_number": "615-991-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 HAZEL PATH STE 5",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753888",
"telephone_number": "615-266-6465",
"fax_number": "615-991-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFLEY",
"first_name": "KENT",
"middle_name": "JEREL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-02",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "4530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF OSTEOPATHIC EXAMINATION",
"identifier": "4530",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.