Noma, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOMA, PC

Doing business as

Sports, Orthopedics & Spine

Practice address

111 Stonebridge Blvd
Suite 100
Jackson, TN 38305-3830

Phone

(731) 427-7888

Fax

(731) 265-4159

NPI assigned

Mar 18, 2016

Last updated

Jun 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith D Nord, M.D.NPI 1033180948

Title

President/Medical Doctor

Phone

(731) 427-7888

Specialties & licenses 1

Addresses

Other names 1

• Sports, Orthopedics & Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

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 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Douglas Nord, M.D.

  • Orthopaedic Surgery Physician
  • Jackson, TN
  • NPI 1033180948
  Medicare reassignment Care Compare group NPD Authorized official
• Caroline M Bolton, PHYSICAL THERAPIST

  • Physical Therapist
  • Jackson, TN
  • NPI 1104949353
  Medicare reassignment Care Compare group NPD
• Triana Lynn Hudson

  • Nurse Practitioner
  • Jackson, TN
  • NPI 1396339396
  Medicare reassignment Care Compare group NPD
• Keith Michael Nord, MD

  • Surgery of the Hand (Surgery) Physician
  • Jackson, TN
  • NPI 1649624677

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Michael Brent Pearson, D.C.

  • Chiropractor
  • Jackson, TN
  • NPI 1255375788
  Medicare reassignment Care Compare group NPD
• Timothy David Sweo, MD

  • Orthopaedic Surgery Physician
  • Jackson, TN
  • NPI 1760441471
  Medicare reassignment Care Compare group NPD
• Bayley Shields, PA-C

  • Surgical Physician Assistant
  • Jackson, TN
  • NPI 1073311189
  Medicare reassignment Care Compare group
• Michael Chad Odle, F.N.P.

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1295722114
  NPD (past)
• Michael James Fuller, MD

  • Child & Adolescent Psychiatry Physician
  • Louisville, CO
  • NPI 1831393321
  NPD (past)
• Roderick Shields O'Brien, M.D.

  • Psychiatry Physician
  • Louisville, CO
  • NPI 1487686325
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1831550854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053830",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "731-427-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports, Orthopedics & Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports, Orthopedics & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leila Keel Nichols, CNM
• Valinda Carol Nobles, RN
• Tameka Lachelle Noel, M.D.
• Amanda Lynn Nold, PA-C
• Gabriel C Nold, DO
• Nord Regenerative Sports Medicine, LLC
• Keith Douglas Nord, M.D.
• Keith Michael Nord, MD
• Rutvi Nord, M.D.
• Elizabeth Gay Nordtvedt, O.D.

• Orthopaedic Surgery Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.