William Merritt Humphrey, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD06278 Issued in TN

Practice address

315 N. Washington Avenue, Suite 103
Cookeville, TN 38501

Phone

(931) 528-2443

Fax

(931) 528-1488

NPI assigned

Jul 10, 2006

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD
• Premier Diagnostic Imaging, LLC

  • Specialist
  • Cookeville, TN
  • NPI 1730130345
  Authorized official Same address or phone
• Putnam Radiology, PC

  • Specialist
  • Cookeville, TN
  • NPI 1770702334
  Authorized official Same address or phone
• Tennessee Radiology Associates, PLLC

  dba Columbia Diagnostic Imaging, PLLC

  • Diagnostic Radiology Physician
  • Cookeville, TN
  • NPI 1760743116
  Authorized official Same address or phone
• Cookeville Regional Medical Center

  dba Cookeville Regional Physicians

  • Hospitalist Physician
  • Cookeville, TN
  • NPI 1023397031
  NPD (past)
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)
• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  NPD (past)
• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Wexford, PA
  • NPI 1740482686
  NPD (past)
• FRG Acmh PC

  • Diagnostic Radiology Physician
  • Kittanning, PA
  • NPI 1366692469
  NPD (past)
• FRG Central PA PC

  • Diagnostic Radiology Physician
  • Coudersport, PA
  • NPI 1487805693
  NPD (past)
• FRG Kentucky PSC

  • Diagnostic Radiology Physician
  • Pineville, KY
  • NPI 1407010051
  NPD (past)
• Hospital Authority of Jefferson County and the City of Louisville

  dba Jefferson Hospital

  • Psychiatric Hospital Unit
  • Louisville, GA
  • NPI 1417554437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1043244684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N. WASHINGTON AVENUE, SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-528-2443",
            "fax_number": "931-528-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N. WASHINGTON AVENUE, SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-528-2443",
            "fax_number": "931-528-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "WILLIAM",
        "middle_name": "MERRITT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD06278",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "6278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3193466",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toney Britton Hudson, M.D.
• Brian Huff, DO
• Donald Wayne Huff, M.D.
• Christine B. Hughes, NP
• Christie Hummel, FNP-BC
• Andrea Hunter, RBT
• Donna Marie Hunter, RDN
• Brianna Hurley
• Shelia Hurley
• Mary Caroline Hutchinson, PTA

• Diagnostic Radiology Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.