Individual provider Active NPI

Thomas B Taylor Jr., M.D.

  • Surgery Physician
  • Hendersonville, TN
National Provider Identifier
1750584710
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TN29893 Issued in TN
Practice address
353 New Shackle Island Rd Ste 247C
Hendersonville, TN 37075-2366
Phone
(615) 264-5850
Fax
(615) 264-5884
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TN29893 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 247C
Hendersonville, TN 37075-2366

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

204 Medical Dr
Lafayette, TN 37083-1719
Phone (615) 666-2147

Other identifiers 2

IdentifierTypeStateIssuer
6038639OtherTNBCBS TN
Q012948MedicaidTN

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
I20040610000314 TN Practitioner - General Surgery 9739162843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kentucky College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

353 New Shackle Island Rd
Suite 247C
Hendersonville, TN 37075-2366
Phone (615) 264-5850

355 New Shackle Island Rd
Suite 123B
Hendersonville, TN 37075-2479
Phone (615) 761-9200

Hospital & facility affiliations

  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux65
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TN29893TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Aug 15, 2015 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Aug 15, 2015 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

353 New Shackle Island Rd
Ste 247C
Hendersonvlle, TN 37075
Phone (615) 264-5850

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

3443 Dickerson Pike
Ste 460
Nashville, TN 37207
Phone (615) 522-0325

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

3443 Dickerson Pike
Ste 270
Nashville, TN 37207
Phone (615) 477-4428

Interoperability endpoints

  • Direct secure messaging: thomas.taylor.1@16055.direct.athenahealth.com

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 3

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1750584710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-264-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 247C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752366",
            "telephone_number": "615-264-5850",
            "fax_number": "615-264-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "370831719",
            "country_code": "US",
            "telephone_number": "615-666-2147",
            "fax_number": "615-264-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "TN29893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6038639",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012948",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.