Tennessee Sports Medicine, Pc in Mount Juliet TN

Tennessee Sports Medicine, Pc is an orthopedic surgery with a current address of 4998 Crossings Cir Ste 200 Mount Juliet TN 37122-0018. The NPI is 1548571482, and the license number is 25086 (TN). It was issued on 06/25/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 07/15/2021.

 

Tennessee Sports Medicine, Pc can be reached by phone at 6155535000, by mail at 4998 Crossings Cir Ste 200 Mount Juliet TN 37122-0018, or by fax at 6157583875.

 

Charles Kaelin (Orthopaedic Surgeon) is the authorized representative of the organization and can be reached at this phone number: 6155535000.

Name: Tennessee Sports Medicine, Pc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Charles Kaelin

Authorized Title/Position: Orthopaedic Surgeon

Contact Number: 6155535000

 

Practice Location Address:

4998 Crossings Cir Ste 200

Mount Juliet

TN 37122-0018

Telephone Number: 6155535000

Fax Number: 6157583875

Mailing Address:

4998 Crossings Cir Ste 200

Mount Juliet

TN 37122-0018

Telephone Number: 6155535000

Fax Number: 6157583875

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1548571482

Enumeration Date: 06/25/2010

Last Update: 07/15/2021

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number: 25086

License State: TN

 

Taxonomy Group: 193400000x Single Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 1520487

Code Type: 5

Identifier State: TN

Identifier Issuer:

 

Other Identifiers (if any):

3723564

1

MEDICARE ID