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 provides Family Medicine Physician services 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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