Healthcare Provider Details

I. General information

NPI: 1982571261
Provider Name (Legal Business Name): DR. POOLE FOOT AND ANKLE SPECIALIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 CAROTHERS PKWY STE 210
FRANKLIN TN
37067-6039
US

IV. Provider business mailing address

5030 CAROTHERS PKWY STE 210
FRANKLIN TN
37067-6039
US

V. Phone/Fax

Practice location:
  • Phone: 615-281-6198
  • Fax: 629-209-9601
Mailing address:
  • Phone: 615-281-6198
  • Fax: 629-209-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY POOLE
Title or Position: DPM/OWNER
Credential:
Phone: 615-281-6198