Individual provider Active NPI

Keren Marie Holmes, MD

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1871614370
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000043713 Issued in TN
Practice address
4230 Harding Pike Ste 222
Nashville, TN 37205-2013
Phone
(615) 302-1111
Fax
(153) 017-0358
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 059427 GA
Family Medicine Physician 207Q00000X 0000043713 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 222
Nashville, TN 37205-2013

Mailing address

3098 Campbell Station Pkwy
Spring Hill, TN 37174-6270
Phone (615) 302-1111

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
I20080703000358 TN Practitioner - Family Practice 3072698851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

4230 Harding Pike
Suite 222
Nashville, TN 37205-2013
Phone (615) 301-7040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059427GAMDFamily Medicine Physician
0000043713TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Cooperative, Inc Multi-Specialty Current Accepting new patients
Advanced Diagnostic Imaging, PC Multi-Specialty CurrentSince Nov 10, 2023 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Nov 10, 2023 Accepting new patients

Locations

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

1632 Gateway Blvd
Murfreesboro, TN 37129
Phone (615) 904-6490

4230 Harding Pike
Ste 222
Nashville, TN 37205
Phone (615) 302-1111

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

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

Organizations & group practices 3

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

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1871614370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 CAMPBELL STATION PKWY",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746270",
            "telephone_number": "615-302-1111",
            "fax_number": "615-302-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 222",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-302-1111",
            "fax_number": "153-017-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KEREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000043713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.