Tenn SM, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25086 Issued in TN

Legal business name

TENN SM, LLC

Doing business as

Tennessee Sports Medicine & Orthopaedics PT & MRI's

Practice address

5002 Crossing Circle
Mt. Juliet, TN 37122-8471

Phone

(615) 553-5500

Fax

(615) 553-5501

NPI assigned

Jun 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Robert Kaelin Jr., M.D.

Title

Owner/Physician

Phone

(615) 553-5500

Specialties & licenses 1

Addresses

Other names 1

• Tennessee Sports Medicine & Orthopaedics PT & MRI's Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427093483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 CROSSING CIRCLE",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371228471",
            "telephone_number": "615-553-5500",
            "fax_number": "615-553-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 CROSSING CIRCLE",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371228471",
            "telephone_number": "615-553-5500",
            "fax_number": "615-553-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENN SM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAELIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "615-553-5500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "25086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Sports Medicine & Orthopaedics PT & MRI's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.