Individual provider Active NPI

Mary-Margaret Anne Fill, M.D.

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1053600239
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NOT ISSUED Issued in TN
Practice address
1215 21St Ave S
Mce - North Tower; 7TH Floor, Suite 2
Nashville, TN 37232-0014
Phone
(615) 936-1969
Fax
(615) 936-6666
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NOT ISSUED TN
Internal Medicine Physician 207R00000X NOT ISSUED TN Primary

Addresses

Primary practice location

1215 21St Ave S
Mce - North Tower; 7TH Floor, Suite 2
Nashville, TN 37232-0014

Mailing address

1215 21St Ave S
Mce - North Tower; 7TH Floor, Suite 2
Nashville, TN 37232-0014
Phone (615) 936-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NOT ISSUEDTNMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1053600239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "MCE - NORTH TOWER; 7TH FLOOR, SUITE 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320014",
            "telephone_number": "615-936-1969",
            "fax_number": "615-936-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "MCE - NORTH TOWER; 7TH FLOOR, SUITE 2",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320014",
            "telephone_number": "615-936-1969",
            "fax_number": "615-936-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILL",
        "first_name": "MARY-MARGARET",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "NOT ISSUED",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "NOT ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.