OrganizationActive
Southern Sports Medicine Portland
NPI 1417237728 · Specialist · Portland, TN
Southern Sports Medicine Portland is a Specialist organization in Portland, TN (NPI 1417237728).
Provider details
- NPI number
- 1417237728
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Southern Sports Medicine Institute, PLLC
- Organization subpart
- Yes
- Authorized official
- Thomas Gautsch, Owner(615) 452-3320
- License
- MD0000026910 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
121 Village Dr
Ste 102 & 103
Portland, TN 37148-1418
Phone: (615) 325-1180
Fax: (615) 452-2668
Street-level locationGet directions
Mailing address
570 Hartsville Pike
Gallatin, TN 37066-2450
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2011-08-18
Frequently asked questions
- What is Southern Sports Medicine Portland's NPI number?
- Southern Sports Medicine Portland's National Provider Identifier (NPI) is 1417237728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Sports Medicine Portland?
- Southern Sports Medicine Portland is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southern Sports Medicine Portland located?
- Southern Sports Medicine Portland's practice location on file with NPPES is 121 Village Dr, Portland, TN 37148-1418.
- What is Southern Sports Medicine Portland's phone number?
- The practice phone number listed in the NPPES registry for Southern Sports Medicine Portland is (615) 325-1180.
- Who is the authorized official for Southern Sports Medicine Portland?
- The authorized official listed on Southern Sports Medicine Portland's NPPES record is Thomas Gautsch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Sports Medicine Portland's NPI active?
- Yes — Southern Sports Medicine Portland's NPI (1417237728) is active in the NPPES registry as of the last update on 2011-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.