John Daniel Rudd, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12820 Issued in TN

Practice address

301 Wolverine Trail Suite 100
Smyrna, TN 37128

Phone

(615) 459-6700

Fax

(615) 459-0068

NPI assigned

Nov 1, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Grove Medical Associates,LLCGroup PAC ID 5294824868, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adamsplace, LLC Nursing home, Murfreesboro, TN, CCN 445392

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Cedar Grove Medical Associates,LLC

  • Specialist
  • Smyrna, TN
  • NPI 1558564021
  Medicare reassignment Care Compare group NPD Authorized official
• Superior Health Solutions LLC

  • Gerontology Registered Nurse
  • Murfreesboro, TN
  • NPI 1467696351
  Medicare reassignment NPD
• Behavior Health Consultants LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1508487141
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adamsplace LLC

  • Skilled Nursing Facility
  • Murfreesboro, TN
  • NPI 1144245135

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1801974449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WOLVERINE TRAIL SUITE 100",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37128",
            "telephone_number": "615-459-6700",
            "fax_number": "615-459-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WOLVERINE TRAIL SUITE 100",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37128",
            "telephone_number": "615-459-6700",
            "fax_number": "615-459-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "12820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD",
            "identifier": "4154820",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4154820",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Will Rowland
• Margarita Ruano Galindo
• Angela E Rubley
• Chastity Lynn Rucker, DDS
• Ruco Orthodontics LLC
• Rudowski Eyecare, PLLC
• Nichole T Rudowski, O.D.
• Ashley Marie Ruiz, BCBA
• Jennifer Ann-Price Runtal, MA
• Carolina Wren Russell, NP

• Internal Medicine Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.
• 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.