Individual provider Active NPI

Keith Michael Nord, MD

  • Surgery of the Hand (Surgery) Physician
  • Jackson, TN
National Provider Identifier
1649624677
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
64610 Issued in TN
Practice address
111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone
(731) 427-7888
Fax
(731) 423-1827
NPI assigned
Apr 15, 2016
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 64610 TN
Surgery Physician 208600000X 64610 TN
Surgery of the Hand (Surgery) Physician 2086S0105X 64610 TN Primary

Addresses

Primary practice location

111 Stonebridge Blvd
Jackson, TN 38305-2040

Mailing address

111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone (731) 427-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 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
I20210729003077 NC Practitioner - Orthopedic Surgery 9931491024 Reassigns benefits to 1 organization
I20220816001336 TN Practitioner - Orthopedic Surgery 9931491024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noma PCGroup PAC ID 0840589255, 7 clinicians

Practice addresses (Care Compare)

111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone (731) 427-7888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.9 of 100Reported as group
Quality
45.42
Promoting interoperability
75
Improvement activities
40
Cost
71.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Noma, PC Orthopaedic Surgery CurrentSince Sep 12, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Carl W. Huff, MD, PC Orthopaedic Surgery PastSince Sep 12, 2022 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

111 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 410-6777

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: keithm.nordmd.p1@direct.sportsorthospine.nextgenshare.com
  • Direct secure messaging: knord28754@mlh.direct-ci.com

Organizations & group practices 5

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 2

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1649624677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-427-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-427-7888",
            "fax_number": "731-423-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "64610",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "64610",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "64610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.