Kaley A Bevel, MD
Individual provider Active NPI Family Medicine Physician · Gallatin, TN
NPI 1649809138 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1649809138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 65957 (TN)
- Practice address
- 225 Big Station Camp Blvd Ste 206
Gallatin, TN 37066-8466 - Phone
- (615) 396-6454
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
225 Big Station Camp Blvd
Suite 206
Gallatin, TN 37066-8466
Phone (615) 451-5110
Hospital & facility affiliations
- Highpoint Health-Sumner With Ascension Saint Thoma
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: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712003770 | TN | Practitioner - Family Practice | 2769813344 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Physician Practices LLC | Current | Accepting new patients | |
| Sumner Physician Practices, LLC | Family Medicine | Current |
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
- kaley.barber.1@19363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 65957 | TN | Yes |
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
Other providers in Gallatin, TN
- Richard Alan Bennett
- Stephen V Bennett
- Deidre Ann Bentley
- Ashley Nicole Berkompas
- Matthew Berry
- Barry Keith Bichon
- Big Hearts Home Care
- Biggs Eyecare LLC
- Holley-Marie Biggs
- Maggie Bill
All providers in Gallatin, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. 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.