Individual provider Active NPI

Julie C Kennon, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1477537173
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27253 Issued in TN
Practice address
210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27253 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620

Mailing address

210 25TH Ave N Ste 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Other identifiers 4

IdentifierTypeStateIssuer
3791307MedicaidTN
64720576MedicaidKY
3823105MedicaidTN
3721492MedicaidTN

Other names 1

  • Julie Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061030000200 TN Practitioner - Diagnostic Radiology 2860420270 Reassigns benefits to 1 organization
I20141208001396 KY Practitioner - Diagnostic Radiology 2860420270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2001 Accepting new patients
Radiology Alliance CT Diagnostic Radiology Past Accepting new patients

Locations (25 of 50)

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

1483 Nashville Pike
Ste 302
Gallatin, TN 37066
Phone (615) 230-8601

304 Northcreek Blvd
Goodlettsville, TN 37072
Phone (615) 859-8488

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1477537173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031620",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNON",
        "first_name": "JULIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "27253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3791307",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64720576",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3823105",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721492",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "COX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.