Individual provider Active NPI

Rennee Nagra Dhillon, MD

  • Family Medicine Physician
  • Spring Hill, TN
National Provider Identifier
1952396921
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038730 Issued in TN
Practice address
5073 Main St
Suite 100
Spring Hill, TN 37174-2737
Phone
(615) 302-0885
Fax
(615) 891-5003
NPI assigned
Sep 15, 2005
Last updated
Sep 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038730 TN Primary

Addresses

Primary practice location

5073 Main St
Suite 100
Spring Hill, TN 37174-2737

Mailing address

1195 Old Hickory Blvd
Suite 103
Brentwood, TN 37027-4239
Phone (615) 818-9888

Other identifiers 3

IdentifierTypeStateIssuer
4092415OtherTNBLUE CROSS BLUE SHIELD TN
4134797MedicaidTN
1505624MedicaidTN

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
I20040910000363 TN Practitioner - Family Practice 1456328475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
America's Family Doctors, PLLCGroup PAC ID 6305821877, 11 clinicians

Practice addresses (Care Compare)

1195 Old Hickory Blvd
Suite 103
Brentwood, TN 37027-4239
Phone (615) 373-2000

5073 Main St
Suite 100
Spring Hill, TN 37174-2738
Phone (615) 302-0885

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038730TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
America's Family Doctors, PLLC Family Medicine CurrentSince Jun 2, 2009 Accepting new patients
Mid TN Clinic PLLC Past Accepting new patients
Goodlettsville Primary Care LLC Family Medicine Past Accepting new patients
Prohealth Rural Health Services, Inc Past Accepting new patients
Prohealth Rural Health Services, Inc Past Accepting new patients
Southcrest Clinic, P. C. Past Accepting new patients
Lewisburg Recovery Center, LLC Past Accepting new patients

Locations

1195 Old Hickory Blvd
Ste 103
Brentwood, TN 37027
Phone (615) 373-2000

5073 Main St
Ste 100
Spring Hill, TN 37174
Phone (615) 302-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFAAA

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1952396921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD",
            "address_2": "SUITE 103",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-818-9888",
            "fax_number": "615-891-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5073 MAIN ST",
            "address_2": "SUITE 100",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742737",
            "telephone_number": "615-302-0885",
            "fax_number": "615-891-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "RENNEE",
        "middle_name": "NAGRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD038730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4092415",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4134797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505624",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

Verify at the official NPI Registry.