Individual provider Active NPI

Keith Regen Hill, MD

  • Family Medicine Physician
  • Gordonsville, TN
National Provider Identifier
1619945292
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37791 Issued in TN
Practice address
8 New Middleton Hwy
Suite a
Gordonsville, TN 38563-6603
Phone
(615) 683-3400
Fax
(615) 683-3402
NPI assigned
Mar 9, 2006
Last updated
Mar 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000037791 TN
Family Medicine Physician 207Q00000X 37791 TN Primary

Addresses

Primary practice location

8 New Middleton Hwy
Suite a
Gordonsville, TN 38563-6603

Mailing address

8 New Middleton Hwy
Suite a
Gordonsville, TN 38563-6603
Phone (615) 683-3400

Other identifiers 1

IdentifierTypeStateIssuer
4277588OtherTNBCBST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050913000800 TN Practitioner - Family PracticePractitioner - Emergency Medicine 6507899333 Reassigns benefits to 6 organizations
I20170404002342 KY Practitioner - Emergency Medicine 6507899333 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000037791TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Apr 11, 2017 Accepting new patients
Pai Participant 1 LLC CurrentSince Jan 22, 2020 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 7, 2016 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Primary Care Associates of Smith County, Inc. Family Medicine Current Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Smith County Family Practice, PC Family Medicine CurrentSince Jun 9, 2019 Accepting new patients
Thomas J Mabry & Associates, Inc. Past Accepting new patients
Medical Observation Services LLC Emergency Medicine Past Accepting new patients
Waters of Gainesboro LLC Past Accepting new patients
LP Monterey LLC Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

107 Health Care Dr
Bldg 3
Carthage, TN 37030
Phone (615) 452-3250

131 Hospital Dr W
Ste 1000
Carthage, TN 37030
Phone (615) 735-8070

100 Jettie Mabry Ln
Gainesboro, TN 38562
Phone (931) 268-0291

1340 N Grundy Quarles Hwy
Gainesboro, TN 38562
Phone (423) 442-3990

8 New Middleton Hwy
Ste A
Gordonsville, TN 38563
Phone (615) 683-3400

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

410 W Crawford Ave
Monterey, TN 38574
Phone (931) 537-6524

919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800

Interoperability endpoints

  • Direct secure messaging: keith.hill.1@18192.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaCookeville, TN, CCN 441520 Hospice Contracted Managing Employee Dec 14, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1619945292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NEW MIDDLETON HWY",
            "address_2": "SUITE A",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385636603",
            "telephone_number": "615-683-3400",
            "fax_number": "615-683-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NEW MIDDLETON HWY",
            "address_2": "SUITE A",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385636603",
            "telephone_number": "615-683-3400",
            "fax_number": "615-683-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KEITH",
        "middle_name": "REGEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000037791",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4277588",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordonsville, TN

Sources for this page

Verify at the official NPI Registry.