Brian K Jefferson (NPI# 1508830407, PAC ID# 4981645546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1508830407 |
| PAC ID by PECOS | 4981645546 |
| Professional Enrollment ID | I20070802000634 |
| Full Name | Brian K Jefferson |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Address |
300 Stonecrest Blvd Suite 410 Smyrna TN 37167-6802 |
| Phone Number | 6152206144 |
| Gender | F |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 9931204237 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| 440227 | TRISTAR STONECREST MEDICAL CENTER |
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 585 Interstate Dr, B, Manchester, TN 37355-3191 | 6155151900 | CENTENNIAL HEART LLC |
| 2300 Patterson St, Nashville, TN 37203-1538 | 6152222100 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 103, Nashville, TN 37203-1577 | 6155151900 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 | 6155152100 | CENTENNIAL HEART LLC |
| 300 Stonecrest Blvd, Suite 410, Smyrna, TN 37167-6802 | 6152206144 | CENTENNIAL HEART LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Webber | Internal Medicine | Centennial Heart LLC | 302 N Congress Blvd, Smithville, TN 37166-2704 |
| Sandeep Duggal | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 |
| Thomas H Cabell | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 2933 Medical Ctr Pkwy D, Murfreesboro, TN 37129-2391 |
| Paul R Myers | Interventional Cardiology | Centennial Heart LLC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Thomas S Johnston | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 7100 Adams Dr, Fairview, TN 37062-7237 |
| Sunil C Kaza | Interventional Cardiology | Centennial Heart LLC | 491 Sage N Rd, Suite 400, White House, TN 37188-9361 |
| Christopher N Conley | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 |
| Gary Wayne Yawn Jr. | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 353 New Shackle Island Rd, Bldg C Suite 300, Handersonville, TN 37075-2329 |
| Marita Walton Ellis | Nurse Practitioner | Centennial Heart LLC | 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 |
| Andrew T Mcrae | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 125 Memorial Dr, Franklin, KY 42134-2752 |
| Street Address |
300 STONECREST BLVD SUITE 410 |
| City | SMYRNA |
| State | TN |
| Zip | 37167-6802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald P Patterson | Internal Medicine | Medical Group-stonecrest Inc | 300 Stonecrest Blvd, Suite 110, Smyrna, TN 37167-5689 |
| Robert D Frankfather | Podiatry | Advanced Foot and Ankle Care Centers PC | 300 Stonecrest Blvd, Suite 255, Smyrna, TN 37167-6837 |
| Tehri Roberts | Nurse Practitioner | Gastroenterology Specialists of Middle Tennessee LLC | 300 Stonecrest Blvd, Suite 455, Smyrna, TN 37167-6851 |
| Kirsten B Bunce | Family Medicine | Medical Group - Stonecrest Fp Inc | 300 Stonecrest Blvd, Suite 100, Smyrna, TN 37167-5170 |
| Amanda Mason | Nurse Practitioner | Advanced Diagnostic Imaging PC | 300 Stonecrest Blvd, Suite 230, Smyrna, TN 37167-6800 |
| Patricia T Harvey | Occupational Therapy | Tennessee Orthopaedic Alliance Pa | 300 Stonecrest Blvd, Suite 300, Smyrna, TN 37167-6801 |
| Christopher O Thompson | Family Medicine | Medical Group - Stonecrest Fp Inc | 300 Stonecrest Blvd, Suite 100, Smyrna, TN 37167-5170 |
| Kimberly A Carano | Physician Assistant | Medical Group-stonecrest Inc | 300 Stonecrest Blvd, Suite 110, Smyrna, TN 37167-5689 |
| Bryan J Kozinski | Family Medicine | Medical Group - Stonecrest Fp Inc | 300 Stonecrest Blvd, Suite 100, Smyrna, TN 37167-5170 |
| Ignus C Retief | Podiatry | Advanced Foot and Ankle Care Centers PC | 300 Stonecrest Blvd, Suite 255, Smyrna, TN 37167-6837 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faiza Rehman | Internal Medicine | Physician Services of Middle Tennessee, LLC | 800 Great Cir, Smyrna, TN 37167-2508 |
| Paul Douglas Trapeni Jr. | Optometry | 23 N Lowry St, Smyrna, TN 37167-2525 | |
| James M Haaven | Optometry | 570 Enon Springs Rd E, Smyrna, TN 37167-2905 | |
| Sarah Schwartz Wilson | Family Medicine | 115 Enon Springs Rd E, Smyrna, TN 37167-3009 | |
| Olawumi O Ayo | Internal Medicine | Cornerstone Medical Associates Pllc | 125 Enon Springs Rd E, Smyrna, TN 37167-3009 |
| Gary Schwartz | Internal Medicine | 115 Enon Springs E, Smyrna, TN 37167-3009 | |
| John M Byrnes | Internal Medicine | 115 Enon Springs Rd E, Smyrna, TN 37167-3009 | |
| Robin Adam | Nurse Practitioner | Volunteer Behavioral Health Care System | 131 Mayfield Dr, Smyrna, TN 37167-3018 |
| Katherine Gee | Nurse Practitioner | Volunteer Behavioral Health Care System | 131 Mayfield Dr, Smyrna, TN 37167-3018 |
| Ernest K Johnson Iii | General Surgery | 200 Mayfield Dr, Smyrna, TN 37167-3019 | |
| Find all physicians in zip 37167 | |||
| City | SMYRNA |
| Zip Code | 37167 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SMYRNA + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Brian K Jefferson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.