Individual provider Active NPI

Nancy A Wolfe-Sidberry, M.S., M.D.

  • Family Medicine Physician
  • Brentwood, TN
National Provider Identifier
1073633780
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17429 Issued in TN
Practice address
5046 Thoroughbred LN
Brentwood, TN 37027-4225
Phone
(615) 370-8080
Fax
(615) 371-8906
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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 MD17429 TN Primary

Addresses

Primary practice location

5046 Thoroughbred LN
Brentwood, TN 37027-4225

Mailing address

5046 Thoroughbred LN
Brentwood, TN 37027-4225
Phone (615) 370-8080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080617000596 TN Practitioner - Family Practice 3173694262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5046 Thoroughbred LN
Brentwood, TN 37027-4225
Phone (615) 370-8080

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
MD17429TNMDFamily Medicine Physician
17429TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Family Care Center, Inc. Family Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

5046 Thoroughbred Ln
Brentwood, TN 37027
Phone (615) 370-8080

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1073633780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 THOROUGHBRED LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274225",
            "telephone_number": "615-370-8080",
            "fax_number": "615-371-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 THOROUGHBRED LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274225",
            "telephone_number": "615-370-8080",
            "fax_number": "615-371-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE-SIDBERRY",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD17429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.