Organization Active NPI

Nashville Urology PC

  • Urology Physician
  • Nashville, TN
National Provider Identifier
1699496455
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NASHVILLE UROLOGY PC
Practice address
2201 Murphy Ave Ste 203
Nashville, TN 37203-1926
Phone
(615) 270-8060
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Authorized official

Name
Mrs. Kimberely Graddy
Title
Controller
Phone
(615) 270-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2201 Murphy Ave Ste 203
Nashville, TN 37203-1926

Mailing address

2201 Murphy Ave Ste 203
Nashville, TN 37203-1926
Phone (615) 270-8060

Other identifiers 1

IdentifierTypeStateIssuer
Q019467MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111002359 TN Part B Supplier - Clinic/Group Practice 2769852573 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2279563Nashville Urology PC2201 Murphy Ave, Suite 115, Nashville, TN 37203Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: annakinney@nashville.medalliesdirect.net
  • Direct secure messaging: benjamindehner@nashville.medalliesdirect.net
  • Direct secure messaging: rachelclaiborne@nashville.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1699496455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031926",
            "telephone_number": "615-270-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURPHY AVE STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031926",
            "telephone_number": "615-270-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "GRADDY",
        "authorized_official_first_name": "KIMBERELY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-270-8060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019467",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.