Individual provider Active NPI

Reyna Elisa Niner, MD

  • Family Medicine Physician
  • Carthage, TN
National Provider Identifier
1811519952
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69304 Issued in TN
Practice address
133 Hospital Dr Ste 500
Carthage, TN 37030-4020
Phone
(615) 735-0700
NPI assigned
May 12, 2020
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69304 TN Primary

Addresses

Primary practice location

133 Hospital Dr Ste 500
Carthage, TN 37030-4020

Mailing address

100 Tyne Dr
Franklin, TN 37064-0754
Phone (615) 838-2560

Other practice location 1

100 Tyne Dr
Franklin, TN 37064-0754
Phone (615) 838-2560

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
I20240118003188 TN Practitioner - Internal Medicine 2062843485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

133 Hospital Dr
Suite 500
Carthage, TN 37030-4020
Phone (615) 735-0700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Mar 1, 2024 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices LLC Family Medicine Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

133 Hospital Dr
Ste 500
Carthage, TN 37030
Phone (615) 735-0700

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

109 River St
Hartsville, TN 37074
Phone (615) 866-1152

Interoperability endpoints

  • Direct secure messaging: reyna.niner.1@19363.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1811519952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TYNE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370640754",
            "telephone_number": "615-838-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HOSPITAL DR STE 500",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304020",
            "telephone_number": "615-735-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Tyne Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370640754",
            "country_code": "US",
            "telephone_number": "615-838-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NINER",
        "first_name": "REYNA",
        "middle_name": "ELISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "69304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

Verify at the official NPI Registry.