Provider Demographics
NPI:1831324649
Name:BOYD, JEREMY SIMPSON (MD)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:SIMPSON
Last Name:BOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2215 GARLAND AVE
Practice Address - Street 2:LIGHT HALL SUITE 203
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0687
Practice Address - Country:US
Practice Address - Phone:615-936-6129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.016060207P00000X
OH35.098385207P00000X
TN49887207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine