Individual provider Active NPI

R James Renfro Jr., MD

  • Orthopaedic Surgery Physician
  • Nashville, TN
National Provider Identifier
1457323610
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
19636 Issued in TN
Practice address
394 Harding PL
Suite 200
Nashville, TN 37211-3980
Phone
(615) 834-4482
Fax
(615) 834-4722
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 19636 TN Primary

Addresses

Primary practice location

394 Harding PL
Suite 200
Nashville, TN 37211-3980

Mailing address

1321 Murfreesboro Pike
Suite 510
Nashville, TN 37217-2626
Phone (615) 366-8890

Other identifiers 2

IdentifierTypeStateIssuer
3050826MedicaidTN
141011OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000251 TN Practitioner - Orthopedic Surgery 6709861537 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19636TNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Jan 1, 1996 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery CurrentSince Jan 1, 1996 Accepting new patients

Locations

1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1457323610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE",
            "address_2": "SUITE 510",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172626",
            "telephone_number": "615-366-8890",
            "fax_number": "615-366-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 HARDING PL",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113980",
            "telephone_number": "615-834-4482",
            "fax_number": "615-834-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFRO",
        "first_name": "R",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "19636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3050826",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141011",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.