| Keith Douglas Nord, MD | |
|
111 Stonebridge Blvd, Jackson, TN 38305-3830 | |
| (731) 427-7888 | |
| (731) 265-4159 |
| Full Name | Keith Douglas Nord |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 42 Years |
| Location | 111 Stonebridge Blvd, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033180948 | NPI | - | NPPES |
| 3091423 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD0000026655 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Volunteer Home Care | Humboldt, TN | Home health agency |
| Volunteer Homecare Of West Tn | Parsons, TN | Home health agency |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Tennessee Llc | 0547667552 | 96 |
| Noma Pc | 0840589255 | 7 |
| Entity Name | Noma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831550854 PECOS PAC ID: 0840589255 Enrollment ID: O20160524001185 |
| Entity Name | Seven Springs Orthopaedics, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194210005 PECOS PAC ID: 2668725557 Enrollment ID: O20181023001041 |
| Entity Name | Privia Medical Group Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Douglas Nord, MD 111 Stonebridge Blvd, Jackson, TN 38305-3931 Ph: (731) 427-7888 | Keith Douglas Nord, MD 111 Stonebridge Blvd, Jackson, TN 38305-3830 Ph: (731) 427-7888 |
L David Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 | |
William Stansul Ragon Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 | |
John E Everett, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24 Physicians Dr, Jackson, TN 38063 Phone: 731-661-9825 Fax: 731-668-6757 | |
John Douglas Haltom Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 | |
Jason T Hutchison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 | |
David A Pearce, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24 Physicians Dr, Jackson, TN 38305 Phone: 731-661-9825 Fax: 731-668-6757 |