Organization Active NPI

Henry County Orthopaedic Surgery & Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • McKenzie, TN
National Provider Identifier
1881889897
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PC
Practice address
161 Hospital Dr
MC Kenzie, TN 38201-1636
Phone
(731) 644-2271
Fax
(731) 644-3980
NPI assigned
Sep 12, 2007
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mrs. Jeanette Triplett
Title
HR/Acct Manager
Phone
(731) 644-2271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

161 Hospital Dr
MC Kenzie, TN 38201-1636

Mailing address

1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Phone (731) 644-2271

Other identifiers 5

IdentifierTypeStateIssuer
0188163OtherTNBCBS
CG3049OtherTNPALMETO GBA
P00131527OtherTNPALMETO GBA
4058520OtherTNBCBS
3719301MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1881889897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 KELLEY DR",
            "address_2": "SUITE 200",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425819",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011636",
            "telephone_number": "731-644-2271",
            "fax_number": "731-644-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "HR/ACCT MANAGER",
        "authorized_official_telephone_number": "731-644-2271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0188163",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "CG3049",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA",
            "identifier": "P00131527",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4058520",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.