Individual provider Active NPI

Jeffrey S Hurless, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hermitage, TN
National Provider Identifier
1841341021
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
912 Issued in TN
Practice address
3901 Central Pike Ste 353
Hermitage, TN 37076-3422
Phone
(615) 220-8788
Fax
(615) 220-8688
NPI assigned
Jan 15, 2007
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 912 TN
Foot & Ankle Surgery Podiatrist 213ES0103X 912 TN Primary

Addresses

Primary practice location

3901 Central Pike Ste 353
Hermitage, TN 37076-3422

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

425 Haaland Dr
Suite 201
Thousand Oaks, CA 91361-5229
Phone (805) 496-2383

Other practice location 2

1503 Hatcher Ln Ste 100
Columbia, TN 38401-4833
Phone (931) 388-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040422000720 CA Practitioner - PodiatryPractitioner - Orthopedic Surgery 6608862925 Practice locations: Thousand Oaks, CA
I20230830001967 TN Practitioner - Podiatry 6608862925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3901 Central Pike
Suite 353
Hermitage, TN 37076-3422
Phone (615) 220-8789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue349
Removal or shaving of skin growth117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
912TNMDBehavioral Analyst
4207CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Podiatrist CurrentSince Feb 1, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3901 Central Pike
Ste 353
Hermitage, TN 37076
Phone (615) 220-8789

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

300 Stonecrest Blvd
Ste 255
Smyrna, TN 37167
Phone (615) 220-2982

693 President Pl
Ste 103
Smyrna, TN 37167
Phone (615) 223-6900

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1841341021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE STE 353",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763422",
            "telephone_number": "615-220-8788",
            "fax_number": "615-220-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Haaland Dr",
            "address_2": "SUITE 201",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913615229",
            "country_code": "US",
            "telephone_number": "805-496-2383",
            "fax_number": "805-496-2387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Hatcher Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384014833",
            "country_code": "US",
            "telephone_number": "931-388-9922",
            "fax_number": "615-332-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLESS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "912",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.