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

Dr. Jack L. Koch Jr., MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1114923737

Dr. Jack L. Koch Jr., MD is a Psychiatry in Nashville, Tennessee. Qualified in 1994, 32 years ago. Practices with Athena Consulting and Psychological Services, PLLC, a 60-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1507 16th Ave S
Nashville, TN 37212-2905
Phone: (615) 515-7775
Fax: (615) 523-1483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 775 Weatherly Dr Ste F, Clarksville, TN 37043-8915 — (615) 320-1155
  • 109 Hazel Path Ste 4, Hendersonville, TN 37075-3888 — (615) 320-1155
  • 220 Athens Way Ste 104, Nashville, TN 37228-1351 — (615) 320-1155

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 27427 (TN)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 27427 (TN)

Record details

NPI number1114923737
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2005
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Athena Consulting And Psychological Services, Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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