NPIMap

Individual provider Active NPI

Jeffrey Andrew Suppinger, M.D.

  • Family Medicine Physician
  • Franklin, TN
National Provider Identifier
1548378805
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD37628 Issued in TN
Practice address
4601 Carothers Parkway
Suite 225
Franklin, TN 37067
Phone
(615) 794-5354
Fax
(615) 599-3532
NPI assigned
Aug 28, 2006
Last updated
Aug 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD37628 TN Primary

Addresses

Primary practice location

4601 Carothers Parkway
Suite 225
Franklin, TN 37067

Mailing address

4601 Carothers Parkway
Suite 225
Franklin, TN 37067
Phone (615) 794-5354

Other identifiers 1

IdentifierTypeStateIssuer
3886951MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000345 TN Practitioner - Family Practice 1355232067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Franklin, TN 37067-5920

4601 Carothers Pkwy
Suite 225
Franklin, TN 37067-5983
Phone (615) 794-5354

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD37628TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Medical Group, LLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

4323 Carothers Pkwy
Ste 409
Franklin, TN 37067
Phone (615) 435-7780

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

4601 Carothers Pkwy
Ste 225
Franklin, TN 37067
Phone (615) 779-0940

Interoperability endpoints

  • Direct secure messaging: jeffreysuppinger@wmc.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1548378805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PARKWAY",
            "address_2": "SUITE 225",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-794-5354",
            "fax_number": "615-599-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PARKWAY",
            "address_2": "SUITE 225",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-794-5354",
            "fax_number": "615-599-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPINGER",
        "first_name": "JEFFREY",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD37628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886951",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.