Kelly J Snyder, M.D.
Individual provider Active NPI Family Medicine Physician · Mt Pleasant, TN
NPI 1487749446 · NPPES record last updated Oct 4, 2010
Key facts
- NPI
- 1487749446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38461 (TN)
- Practice address
- 200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714 - Phone
- (931) 379-5821
- Fax
- (931) 379-5867
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Williamson Medical Group, LLC
Practice addresses (Care Compare)
1950 Downs Blvd
Suite 102
Franklin, TN 37064-1562
Phone (615) 794-8412
4323 Carothers Pkwy
Franklin, TN 37067-5920
Hospital & facility affiliations
- Amedisys Home Health
- NHC Homecare Murfreesboro
- Amedisys Home Health Care
- Williamson Medical Center
- Maury Regional Hospital
- Wayne Medical Center
- Vanderbilt University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 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 |
|---|---|---|---|---|
| I20040610001791 | TN | Practitioner - Family Practice | 7214835222 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38461 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamson Medical Group, LLC | Current |
Accepting new patients |
Locations
1950 Downs Blvd
Ste 102
Franklin, TN 37064
Phone (615) 435-7780
4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780
Interoperability endpoints
- kellysnyder@wmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38461 | TN | Yes |
Addresses
Primary practice location
200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714
Mailing address
854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone (931) 540-4255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3892341 | Medicaid | TN | |
| 3710089 | Medicaid | TN | |
| 4085273 | Other | TN | BCBSTN |
Other providers in Mt Pleasant, TN
- Rocky Mountain Holdings, LLC
- Lynn Ruch
- Paige Shepherd
- Rachel Denise Smith
- Rebecca Helen Smith
- Mary Alice Spaulding
- Ryan Richard Sullivan
- Tailwater Practice Partners
- Tadd T Thompson
- Michael L Tyler
All providers in Mt Pleasant, TN · Family Medicine 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 Oct 4, 2010. 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.