Foundation Medical Group

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

FOUNDATION MEDICAL GROUP

Practice address

308 Harpeth Hills Dr
Franklin, TN 37069-6205

Phone

(858) 776-3538

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Jeremy Krider, PA-CNPI 1598438418

Title

Owner

Phone

(629) 223-5392

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Krider, PA-C, EMT-B

  • Physician Assistant
  • Hermitage, TN
  • NPI 1598438418
  Medicare reassignment Authorized official
• Amber Dawn Lee, FNP

  • Family Nurse Practitioner
  • Dickson, TN
  • NPI 1275384430
  Medicare reassignment NPD

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1497540314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W MAIN ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643300",
            "telephone_number": "629-223-5392",
            "fax_number": "615-599-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HARPETH HILLS DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370696205",
            "telephone_number": "858-776-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "KRIDER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "629-223-5392",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Forsyth
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• Constance H Foster, D. PH.
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• Chad Eric Fowler, D.D.S., M.S.D.
• Jennifer Barry Fowler, APN-C
• Jacqueline Fox
• John Carlton Fox, M.D.

• Medical Physician Assistant in Franklin, TN
• Providers in Franklin, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.