Individual provider Active NPI

Jeffrey Sands Lodge, MD

  • Obstetrics & Gynecology Physician
  • Brentwood, TN
National Provider Identifier
1407931504
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000026575 Issued in TN
Practice address
1804 Williamson CT
Suite 208
Brentwood, TN 37027-8170
Phone
(615) 690-6600
Fax
(615) 690-6604
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0000026575 TN Primary

Addresses

Primary practice location

1804 Williamson CT
Suite 208
Brentwood, TN 37027-8170

Mailing address

1804 Williamson CT
Suite 208
Brentwood, TN 37027-8170
Phone (615) 690-6600

Other identifiers 2

IdentifierTypeStateIssuer
4096252OtherTNTENNCARE SELECT
4096252OtherTNBLUE CROSS OF TN

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2018 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000026575TNMDObstetrics & Gynecology Physician
26575TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Women'S Care, PC Obstetrics & Gynecology Past Accepting new patients
J. Rowland MD, LLC Obstetrics & Gynecology PastSince Jan 16, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jslodgemd@coolspringsmd.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1407931504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 WILLIAMSON CT",
            "address_2": "SUITE 208",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278170",
            "telephone_number": "615-690-6600",
            "fax_number": "615-690-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 WILLIAMSON CT",
            "address_2": "SUITE 208",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278170",
            "telephone_number": "615-690-6600",
            "fax_number": "615-690-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGE",
        "first_name": "JEFFREY",
        "middle_name": "SANDS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000026575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "4096252",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "4096252",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.