Rhennetta Bork, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Columbia, TN
NPI 1568923944 · NPPES record last updated Nov 23, 2022
Key facts
- NPI
- 1568923944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 925 (TN)
- Practice address
- 1503 Hatcher LN Ste 100
Columbia, TN 38401-4833 - Phone
- (931) 388-9922
- Fax
- (615) 332-0340
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Foot and Ankle Care Centers, PC
Practice addresses (Care Compare)
1503 Hatcher LN
Suite 100
Columbia, TN 38401-4833
Phone (931) 388-9922
Hospital & facility affiliations
- Maury Regional Hospital
- Tristar Horizon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 170 |
| Removal of skin lesions | 26 |
| Removal of nail tissue | 855 |
| Removal or shaving of skin growth | 408 |
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220727003694 | TN | Practitioner - Podiatry | 0648504357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925 | TN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot & Ankle Care Centers, PC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Advanced Foot & Ankle Care Centers, PC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Advanced Foot & Ankle Care Centers | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1503 Hatcher Ln
Ste 100
Columbia, TN 38401
Phone (931) 388-9922
111 Highway 70 E
Ste 102
Dickson, TN 37055
Phone (615) 229-3045
2340 Fairview Blvd
Ste 600A
Fairview, TN 37062
Phone (615) 375-1531
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
397 Wallace Rd
Ste 411
Nashville, TN 37211
Phone (615) 322-0330
300 Stonecrest Blvd
Ste 255
Smyrna, TN 37167
Phone (615) 220-2982
309 Quecreek Cir
Smyrna, TN 37167
Phone (615) 220-2982
5073 Main St
Ste 230
Spring Hill, TN 37174
Phone (615) 302-0447
Interoperability endpoints
- rbork594753@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 925 | TN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 925 | TN | Yes |
Addresses
Primary practice location
1503 Hatcher LN Ste 100
Columbia, TN 38401-4833
Mailing address
397 Wallace Rd Ste 411
Nashville, TN 37211-8028
Phone (615) 332-0330
Other practice location 1
397 Wallace Rd Ste 411
Nashville, TN 37211-8028
Phone (615) 332-0330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q075257 | Medicaid | TN |
Other providers in Columbia, TN
- Deanna Michelle Bommarito
- Lindsey Hawthorne Bonas-Page
- Samuel Booker
- Hannah Elizabeth Boren
- Justin Luke Boren
- Nina Elizabeth Boshers
- Brice T. Boughner
- Karen Hunnicutt Bowden
- Gregory Richard Bowers
- Amanda Bowlds
All providers in Columbia, TN · Foot & Ankle Surgery Podiatrist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 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.