Individual provider Active NPI

Shashirekha K Shetty, MD

  • Pediatrics Physician
  • Franklin, TN
National Provider Identifier
1760484414
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41815 Issued in TN
Practice address
100 Covey Dr Ste 310
Franklin, TN 37067-5663
Phone
(615) 203-8750
Fax
(866) 854-5230
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 41815 TN Primary

Addresses

Primary practice location

100 Covey Dr Ste 310
Franklin, TN 37067-5663

Mailing address

100 Covey Dr Ste 310
Franklin, TN 37067-5663
Phone (615) 203-8750

Other identifiers 1

IdentifierTypeStateIssuer
Q002189MedicaidTN

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
I20210420002256 TN Practitioner - Pediatric MedicinePractitioner - Family Practice 5991733230 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital CurrentSince Jan 20, 2025 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Franklin Pediatric Clinic, PLLC Pediatrics Current Accepting new patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Hospital CurrentSince Jan 20, 2025 Accepting new patients
Centennial Pediatrics PC Pediatrics PastSince Oct 1, 2012 Accepting new patients

Locations

100 Covey Dr
Ste 310
Franklin, TN 37067
Phone (615) 203-8750

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

1090 N Ellington Pkwy
Ste 201
Lewisburg, TN 37091
Phone (931) 270-1278

1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1760484414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COVEY DR STE 310",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675663",
            "telephone_number": "615-203-8750",
            "fax_number": "615-472-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COVEY DR STE 310",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675663",
            "telephone_number": "615-203-8750",
            "fax_number": "866-854-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SHASHIREKHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "41815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.