Active NPI
Richard Graves Soper, MD,JD,MS, FASAM
- Addiction Medicine (Psychiatry & Neurology) Physician
- Nashville, TN
National Provider Identifier
1801832456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 13558
- Practice address
- 110 29TH Ave N Ste 300
Nashville, TN 37203-1401 - Phone
- (615) 292-5747
- Fax
- (615) 292-5749
- NPI assigned
- Jun 21, 2006
- Last updated
- Feb 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 13558 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N Ste 300
Nashville, TN 37203-1401
Mailing address
110 29TH Ave N Ste 300
Nashville, TN 37203-1401
Phone (615) 292-5747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3887354 | Other | TN | PERFORMING PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Juris Doctor, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13558 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1801832456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-292-5747",
"fax_number": "615-292-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-292-5747",
"fax_number": "615-292-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPER",
"first_name": "RICHARD",
"middle_name": "GRAVES",
"name_prefix": "Dr.",
"credential": "MD,JD,MS, FASAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "TN",
"license": "13558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERFORMING PROVIDER",
"identifier": "3887354",
"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 Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.