Individual provider Active NPI

Sophia Kantemyr, MD

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
National Provider Identifier
1811512197
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
71284 Issued in TN
Practice address
5651 Frist Blvd Ste 500
Hermitage, TN 37076-2059
Phone
(615) 874-8006
Fax
(615) 316-4026
NPI assigned
Jun 11, 2020
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 71284 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 500
Hermitage, TN 37076-2059

Mailing address

5651 Frist Blvd Ste 500
Hermitage, TN 37076-2059
Phone (615) 874-8006

Other names 1

  • Mrs. Sophia Kantymyr Former name

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
I20240828001686 TN Practitioner - Obstetrics/Gynecology 4981143443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Womens Group, LLCGroup PAC ID 4789938721, 16 clinicians

Practice addresses (Care Compare)

5651 Frist Blvd
Suite 500
Hermitage, TN 37076-2059
Phone (615) 874-8006

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Womens Group, LLC Obstetrics & Gynecology CurrentSince Aug 12, 2024 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Aug 29, 2025 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5651 Frist Blvd
Ste 500
Hermitage, TN 37076
Phone (615) 874-8006

920 S Hartmann Dr
Ste 110
Lebanon, TN 37090
Phone (615) 208-7969

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2300 Patterson St
#M
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: sophia.kantemyr@hca1.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1811512197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762059",
            "telephone_number": "615-874-8006",
            "fax_number": "615-316-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762059",
            "telephone_number": "615-874-8006",
            "fax_number": "615-316-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTEMYR",
        "first_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "71284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "KANTYMYR",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.