Hyde Park Medical Group, PLLC
NPI 1043903990 · Family Medicine Physician · Smyrna, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hyde Park Medical Group, PLLC is a Family Medicine Physician organization in Smyrna, TN (NPI 1043903990).
Provider details
- NPI number
- 1043903990
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khaisha Gist, Medical Director(773) 802-2723
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Hyde Park Medical
- Doing business as
- Hyde Park Medical
Registry dates
- Enumerated
- 2023-05-29
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Frequently asked questions
- What is Hyde Park Medical Group, PLLC's NPI number?
- Hyde Park Medical Group, PLLC's National Provider Identifier (NPI) is 1043903990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hyde Park Medical Group, PLLC?
- Hyde Park Medical Group, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hyde Park Medical Group, PLLC located?
- Hyde Park Medical Group, PLLC's practice location on file with NPPES is 741 President Pl Ste 140, Smyrna, TN 37167-6808.
- What is Hyde Park Medical Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Hyde Park Medical Group, PLLC is (615) 412-8662.
- Does Hyde Park Medical Group, PLLC accept Medicare?
- Hyde Park Medical Group, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hyde Park Medical Group, PLLC?
- The authorized official listed on Hyde Park Medical Group, PLLC's NPPES record is Khaisha Gist, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hyde Park Medical Group, PLLC's NPI active?
- Yes — Hyde Park Medical Group, PLLC's NPI (1043903990) is active in the NPPES registry as of the last update on 2024-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.