Healthcare Provider Details

I. General information

NPI: 1427510718
Provider Name (Legal Business Name): JOHN MARK WELDY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5021 CAROTHERS PKWY
FRANKLIN TN
37067-6037
US

IV. Provider business mailing address

2004 HAYES ST STE 200
NASHVILLE TN
37203-2689
US

V. Phone/Fax

Practice location:
  • Phone: 615-324-1600
  • Fax: 615-324-1661
Mailing address:
  • Phone: 615-324-1600
  • Fax: 615-324-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD.48718
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.48718
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: