Riverside Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERSIDE FAMILY MEDICINE

Practice address

1210 Briarville Rd
BLDG F
Madison, TN 37115-5141

Phone

(615) 860-0704

Fax

(615) 860-9882

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly A Grenier

Title

Office-Billing Manager

Phone

(615) 860-0704

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Kenneth C. Dozier, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Madison, TN
  • NPI 1184697898
  Medicare reassignment Care Compare group NPD
• Tony A Freeman, MD

  • Family Medicine Physician
  • Madison, TN
  • NPI 1285615278
  Medicare reassignment Care Compare group NPD
• Peter T. Geleskie, M.D.

  • Family Medicine Physician
  • Madison, TN
  • NPI 1609840131
  Medicare reassignment Care Compare group NPD
• Jennifer Elizabeth Jaris-Weaver, APN, FNP-BC

  • Family Nurse Practitioner
  • Madison, TN
  • NPI 1821012923
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1780720813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BRIARVILLE RD",
            "address_2": "BLDG F",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155141",
            "telephone_number": "615-860-0704",
            "fax_number": "615-860-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BRIARVILLE RD",
            "address_2": "BLDG F",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155141",
            "telephone_number": "615-860-0704",
            "fax_number": "615-860-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "GRENIER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE-BILLING MANAGER",
        "authorized_official_telephone_number": "615-860-0704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivergate Chiropractic
• Rivergate Dental Associates PC
• Rivergate Operations, LLC
• Rivergate Village Dental
• Kimberly Rivers, NP
• Roberts Chiropractic LLC
• Roberts Chiropractic LLC
• Roberts Integrative Medicine, LLC
• Edward Andrew Roberts, DC
• George Tracy Roberts, MSSW

• Family Medicine Physician in Madison, TN
• Providers in Madison, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.