Active NPI
Nashville Urology PC
- Urology Physician
- Nashville, TN
National Provider Identifier
1699496455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q019467 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2279563 | Nashville Urology PC | Certificate of waiver | Apr 3, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- annakinney@nashville.medalliesdirect.net
- benjamindehner@nashville.medalliesdirect.net
- 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.
-
- Urology Physician
- Nashville, TN
- NPI 1649481938
-
- Physician Assistant
- Nashville, TN
- NPI 1578164018
-
- Gerontology Nurse Practitioner
- Nashville, TN
- NPI 1245838713
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.