Organization Active NPI

Nord Regenerative Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Jackson, TN
National Provider Identifier
1427614916
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NORD REGENERATIVE SPORTS MEDICINE, LLC
Practice address
2025 Greystone SQ
Jackson, TN 38305-3576
Phone
(731) 431-3964
NPI assigned
May 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Dr. Keith D Nord, MD
Title
President
Phone
(731) 431-3964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2025 Greystone SQ
Jackson, TN 38305-3576

Mailing address

2027 Greystone SQ
Jackson, TN 38305-3576
Phone (731) 431-3964

Other practice location 1

569 Skyline Dr Ste 100
Jackson, TN 38301-3911
Phone (731) 427-7888

Other practice location 2

1855 US Highway 51 Byp N
Dyersburg, TN 38024-2872
Phone (731) 431-3964

Other practice location 3

5000 Crossings Cir
Mount Juliet, TN 37122-8592
Phone (615) 758-1010

National Provider Directory

National Provider Directory

Locations

1855 US Highway 51 Byp N
Dyersburg, TN 38024
Phone (731) 431-3964

2025 Greystone Sq
Jackson, TN 38305
Phone (731) 431-3964

2027 Greystone Sq
Jackson, TN 38305
Phone (731) 668-6882

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1427614916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-431-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053576",
            "telephone_number": "731-431-3964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "569 Skyline Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013911",
            "country_code": "US",
            "telephone_number": "731-427-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 US Highway 51 Byp N",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242872",
            "country_code": "US",
            "telephone_number": "731-431-3964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Crossings Cir",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228592",
            "country_code": "US",
            "telephone_number": "615-758-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORD REGENERATIVE SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-431-3964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.