Organization Active NPI

Foot and Ankle Specialists of Middle Tennessee

  • Foot & Ankle Surgery Podiatrist
  • Murfreesboro, TN
National Provider Identifier
1548549785
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
719 Issued in TN
Legal business name
FOOT AND ANKLE SPECIALISTS OF MIDDLE TENNESSEE
Practice address
1508 Carl Adams Dr Ste 102
Murfreesboro, TN 37129-4375
Phone
(615) 896-9493
Fax
(615) 494-4956
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Meeghan Nichole GilesNPI 1720303498
Title
DPM
Phone
(615) 896-9493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 719 TN Primary

Addresses

Primary practice location

1508 Carl Adams Dr Ste 102
Murfreesboro, TN 37129-4375

Mailing address

1508 Carl Adams Dr Ste 102
Murfreesboro, TN 37129-4375
Phone (615) 896-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111115000584 TN Part B Supplier - Clinic/Group Practice 7315111036 Receives reassigned benefits from 2 practitioners
Practice locations: Murfreesboro, TN
O20120209000843 TN DME Supplier - Physician - Podiatry 7315111036 Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

1155 Kennedy Dr
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-9493

1508 Carl Adams Dr
Ste 102
Murfreesboro, TN 37129
Phone (615) 896-9493

1508 Carl Adams Dr
Ste 1B
Murfreesboro, TN 37129

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1548549785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CARL ADAMS DR STE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294375",
            "telephone_number": "615-896-9493",
            "fax_number": "615-494-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 CARL ADAMS DR STE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294375",
            "telephone_number": "615-896-9493",
            "fax_number": "615-494-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF MIDDLE TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "MEEGHAN",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "615-896-9493"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.