Organization Active NPI

Henry County Orthopaedic Surgery & Sports Medicine, Inc

  • Orthopaedic Surgery Physician
  • Union City, TN
National Provider Identifier
1407951106
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, INC
Practice address
701 E Reelfoot Ave
Union City, TN 38261-5880
Phone
(800) 726-6379
Fax
(731) 644-3980
NPI assigned
Sep 14, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mrs. Jeanette Triplett
Title
HR Acct Manager
Phone
(731) 644-2271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

701 E Reelfoot Ave
Union City, TN 38261-5880

Mailing address

1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Phone (731) 644-2271

Other identifiers 7

IdentifierTypeStateIssuer
000000353340OtherKYBCBS
64082274MedicaidKY
553436344OtherTNTRICARE
143389OtherTNUNISON
P00131527OtherTNPALMETO GBA
4058520OtherTNBCBS
3719301MedicaidTN

National Provider Directory

National Provider Directory

Locations

300 S 8th St
Ste 182W
Murray, KY 42071
Phone (270) 762-1560

1015 Kelley Dr
Paris, TN 38242
Phone (731) 641-0002

1015 Kelley Dr
Ste 101
Paris, TN 38242
Phone (731) 641-0002

701 E Reelfoot Ave
Union City, TN 38261
Phone (731) 644-2271

702 Sherrill St
#A
Union City, TN 38261
Phone (731) 644-2271

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1407951106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 KELLEY DR",
            "address_2": "SUITE 200",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425819",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615880",
            "telephone_number": "800-726-6379",
            "fax_number": "731-644-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "HR ACCT MANAGER",
        "authorized_official_telephone_number": "731-644-2271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000353340",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64082274",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "553436344",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "143389",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "P00131527",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4058520",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.