NPIMap

Individual provider Active NPI

William Thurman Bates III, DO

  • Family Medicine Physician
  • Ooltewah, TN
National Provider Identifier
1073552121
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000001536 Issued in TN
Practice address
6401 Mountain View Road
Suite 109
Ooltewah, TN 37363
Phone
(423) 495-5951
Fax
(423) 495-5999
NPI assigned
Jun 5, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO0000001536 TN Primary

Addresses

Primary practice location

6401 Mountain View Road
Suite 109
Ooltewah, TN 37363

Mailing address

6401 Mountain View Road
Suite 109
Ooltewah, TN 37363
Phone (423) 495-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001096 TN Practitioner - Family Practice 9537130679 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

6401 Mountain View Rd
Suite 109
Ooltewah, TN 37363-6685
Phone (423) 495-5951

725 Glenwood Dr
Chattanooga, TN 37404-1177

966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO0000001536TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Sep 1, 2012 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Jun 16, 2006 Accepting new patients
South Central Physicians PLLC CurrentSince Jul 20, 2019 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine Current Accepting new patients
Bates Family Medicine, PLLC Family Medicine PastSince Feb 21, 2013 Accepting new patients
East Tennessee Medical Group, PC Family Medicine Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

7900 Rhea County Hwy
Dayton, TN 37321
Phone (423) 570-0018

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

6401 Mountain View Rd
Ste 109
Ooltewah, TN 37363
Phone (423) 495-5951

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: wbates132779@direct.stlukeshealth.org
  • Direct secure messaging: williambates@tnmhpf.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1073552121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW ROAD",
            "address_2": "SUITE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-495-5951",
            "fax_number": "423-495-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW ROAD",
            "address_2": "SUITE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "423-495-5951",
            "fax_number": "423-495-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "WILLIAM",
        "middle_name": "THURMAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000001536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.