Organization
TENNESSEE SPORTS MEDICINE, PC
Active
Organization
TENNESSEE SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROBERT KAELIN JR. MD (ORTHOPAEDIC SURGEON)
(615) 553-5000
Entity
Organization
Contact information
Practice address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Mailing address
4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122-0018
(615) 553-5000
(615) 758-3875
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
025086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520487
—
TN
01
—
3723564
MEDICARE ID
—
Enumeration date
06/25/2010
Last updated
07/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up