Individual provider Active NPI

Louis T Riley, M.D.

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
National Provider Identifier
1891791471
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26222 Issued in TN
Practice address
300 Stonecrest Blvd
Ste 490
Smyrna, TN 37167-6817
Phone
(615) 223-0200
Fax
(615) 223-8704
NPI assigned
Jun 28, 2005
Reactivated
Apr 20, 2006
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21439 KY
Obstetrics & Gynecology Physician 207V00000X 26222 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd
Ste 490
Smyrna, TN 37167-6817

Mailing address

300 Stonecrest Blvd
Ste 490
Smyrna, TN 37167-6817
Phone (615) 223-0200

Other practice location 1

1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4000

Other identifiers 2

IdentifierTypeStateIssuer
3089664MedicaidTN
3726680MedicaidTN

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
I20031114000642 TN Practitioner - Obstetrics/Gynecology 4880508787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26222TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Tennessee, P.C. Single Specialty CurrentSince Feb 1, 2019 Accepting new patients
Saint Thomas Medical Partners Single Specialty CurrentSince Mar 4, 2024 Accepting new patients
Fort Sanders Perinatal Center Single Specialty PastSince Nov 23, 2021 Accepting new patients
Leconte Women's Healthcare Associates, PC Single Specialty PastSince Jul 1, 2015 Accepting new patients
Saint Thomas River Park Hospital, LLC Past Accepting new patients
Her Health , PLLC Single Specialty PastSince Aug 8, 2024 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

300 20th Ave N
Fl 9
Nashville, TN 37203

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1891791471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "STE 490",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676817",
            "telephone_number": "615-223-0200",
            "fax_number": "615-223-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "STE 490",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676817",
            "telephone_number": "615-223-0200",
            "fax_number": "615-223-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1559 Sparta St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371101316",
            "country_code": "US",
            "telephone_number": "931-815-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LOUIS",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "21439",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "26222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089664",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726680",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.