Individual provider Active NPI

Kaley A Bevel, MD

  • Family Medicine Physician
  • Gallatin, TN
National Provider Identifier
1649809138
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65957 Issued in TN
Practice address
225 Big Station Camp Blvd Ste 206
Gallatin, TN 37066-8466
Phone
(615) 396-6454
NPI assigned
Apr 6, 2020
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 65957 TN Primary

Addresses

Primary practice location

225 Big Station Camp Blvd Ste 206
Gallatin, TN 37066-8466

Mailing address

225 Big Station Camp Blvd Ste 206
Gallatin, TN 37066-8466
Phone (613) 328-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230712003770 TN Practitioner - Family Practice 2769813344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

225 Big Station Camp Blvd
Suite 206
Gallatin, TN 37066-8466
Phone (615) 451-5110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Aug 1, 2023 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC Family Medicine Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

225 Big Station Camp Blvd
Ste 206
Gallatin, TN 37066
Phone (615) 328-3400

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

Interoperability endpoints

  • Direct secure messaging: kaley.barber.1@19363.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1649809138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BIG STATION CAMP BLVD STE 206",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370668466",
            "telephone_number": "613-328-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BIG STATION CAMP BLVD STE 206",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370668466",
            "telephone_number": "615-396-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVEL",
        "first_name": "KALEY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "65957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.