Active NPI
Nord Regenerative Sports Medicine, LLC
- Orthopaedic Surgery Physician
- Jackson, TN
National Provider Identifier
1427614916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.