Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hyde Park Medical Group, PLLC

Organization Family Medicine Physician · NPI 1043903990

Hyde Park Medical Group, PLLC is a Family Medicine Physician in Smyrna, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

741 President Pl Ste 140
Smyrna, TN 37167-6808
Phone: (615) 412-8662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043903990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khaisha Gist — Medical Director · (773) 802-2723
Other names Hyde Park Medical; Hyde Park Medical
NPI enumeratedMay 29, 2023
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing addressPo Box 23, Gladeville, TN 37071-0023

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