Individual provider Active NPI

Lucie Calderon, MD

  • Gastroenterology Physician
  • Hermitage, TN
National Provider Identifier
1730649104
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
73436 Issued in TN
Practice address
5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067
Phone
(615) 885-1093
Fax
(615) 885-1110
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 73436 TN Primary

Addresses

Primary practice location

5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

660 S Mount Juliet Rd Ste 220
MT Juliet, TN 37122-3920
Phone (615) 885-1093

Other practice location 2

920 S Hartmann Dr Ste 310
Lebanon, TN 37090-4137
Phone (615) 885-1093

Other practice location 3

1115B Dow St
Murfreesboro, TN 37130-2487
Phone (615) 889-6699 ext. 66996

Other identifiers 1

IdentifierTypeStateIssuer
Q101679MedicaidTN

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
I20250506003452 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 9931528528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

5653 Frist Blvd
Suite 530
Hermitage, TN 37076-2067
Phone (615) 885-1093

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Upper gastrointestinal (GI) endoscopy for acid reflux25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G I Diagnostic and Therapeutic Center LLC Gastroenterology Current Accepting new patients
Gastroenterology Center of the Midsouth PLLC Gastroenterology CurrentSince May 1, 2025 Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

5653 Frist Blvd
Ste 530
Hermitage, TN 37076
Phone (615) 885-1110

920 S Hartmann Dr
Ste 310
Lebanon, TN 37090

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

660 S Mount Juliet Rd
Ste 220
Mt Juliet, TN 37122

1115B Dow St
Murfreesboro, TN 37130
Phone (615) 896-6996

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1730649104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD STE 530",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762067",
            "telephone_number": "615-885-1093",
            "fax_number": "615-885-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Mount Juliet Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223920",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 S Hartmann Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904137",
            "country_code": "US",
            "telephone_number": "615-885-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115B Dow St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302487",
            "country_code": "US",
            "telephone_number": "615-889-6699 x66996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LUCIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "73436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q101679",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.