KEVIN NATHANIEL BLYTHE (MD) – Emergency Medicine Physician, NPI 1902149123

KEVIN NATHANIEL BLYTHE (MD) is a healthcare provider. based in Nashville, Tennessee. specializing in SPORTS MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 56330 (TN). The NPI Number for KEVIN NATHANIEL BLYTHE (MD) is 1902149123

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN NATHANIEL BLYTHE (MD)
NPI
1902149123
Phone
(615) 647-9005
Address
6746 CHARLOTTE PIKE
Enumeration Date
5 April 2013
Last Update Date
27 May 2022

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
5193013928
Group Practice PAC ID
6507846771
Professional Enrollment ID
I20240826001334
Address ID
MD208171844BE6410XDRXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

161 SPORTS MEDICINE in TN

Provider Addresses for KEVIN NATHANIEL BLYTHE (MD)

  • 6746 CHARLOTTE PIKE

    NASHVILLE, TN 372094204

    Phone: (615) 647-9005

    Type: Location

  • 6746 Charlotte Pike

    Nashville, TN 372094204

    Phone: (615) 647-9005

    Type: Location

  • PO BOX 23854

    BELFAST, ME 049154489

    Phone: (615) 647-9005

    Type: Mailing

  • 11233 SHADOW CREEK PKWY

    PEARLAND, TX 775847345

    Phone: (346) 324-5100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161011003165IEmergency MedicineDCTBD
I20171206000763IEmergency MedicineTNTBD
I20200729000931IEmergency MedicineTXTBD
I20230926000273IEmergency MedicineILTBD
I20240826001334IEmergency MedicineMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8281$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3938$0
99284Emergency department visit with moderate level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 37209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507846771View full group profile
NameSpecialtyState
Internal MedicineMD
Internal MedicineMD
Internal MedicineMA
Internal MedicineDC
Internal MedicineMD
Orthopedic Surgery, Sports MedicineNH
Internal MedicineMD
Physician AssistantNY
Internal MedicineMD
Neuropsychiatry, NeurologyPA

Reviews

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Frequently asked questions

Can I verify KEVIN NATHANIEL BLYTHE (MD) with an NPI only?
You can start verification with NPI 1902149123 for KEVIN NATHANIEL BLYTHE (MD), then check state licensing separately.
Can I rely on KEVIN NATHANIEL BLYTHE (MD) being an active provider?
As of the registry snapshot, KEVIN NATHANIEL BLYTHE (MD) is marked active.
What is KEVIN NATHANIEL BLYTHE (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for KEVIN NATHANIEL BLYTHE (MD) here. Clinical services aligned with this taxonomy classification.
Does KEVIN NATHANIEL BLYTHE (MD) list a practice location?
Patients near Nashville, Tennessee may find KEVIN NATHANIEL BLYTHE (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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