Kenneth Charles Fletcher Jr., M.D.
Individual provider Active NPI Otolaryngology Physician · Nashville, TN
NPI 1477575876 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1477575876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 44668 (TN)
- Practice address
- The Vanderbilt Voice Center
1215 21St Ave South, Ste 7302
Nashville, TN 37232 - Phone
- (615) 343-7464
- Fax
- (615) 343-0872
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Alabama School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vanderbilt University Medical Center
Practice addresses (Care Compare)
1301 22ND Ave S
Nashville, TN 37232-5100
Phone (615) 322-3000
Hospital & facility affiliations
- Vanderbilt University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180418002635 | TN | Practitioner - Otolaryngology | 4981608221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Otolaryngology | Current |
Accepting new patients |
| Vanderbilt University | Past | Accepting new patients | |
| Coastal Head & Neck Associates, PC | Otolaryngology | Past | Accepting new patients |
Locations
Dept AT 40379
Atlanta, GA 31192
Dept A T 40379
Atlanta, GA 31192
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
1215 21st Ave S
Ste 7302
Nashville, TN 37232
Phone (615) 343-7464
Interoperability endpoints
- kfletcher395554@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 44668 | TN | Yes |
Addresses
Primary practice location
The Vanderbilt Voice Center
1215 21St Ave South, Ste 7302
Nashville, TN 37232
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-6800
Phone (615) 322-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q033706 | Medicaid | TN | |
| 197716427A | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfletcher395554@direct.vumc.org | Direct |
Other providers in Nashville, TN
- Barbara Fletcher
- Casey Claire Fletcher
- Christopher Fletcher
- Jack M Fletcher
- Kenneth Fletcher
- Kylie Fletcher
- Lauren Keith Fletcher
- Rebeccah L Fletcher
- Sharleen Fletcher
- Erica Fleury
All providers in Nashville, TN · Otolaryngology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.