Active NPI
Grayson H Wheatley III, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Nashville, TN
National Provider Identifier
1083615934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 54798
- Practice address
- 2400 Patterson St
Suite 307
Nashville, TN 37203-1562 - Phone
- (615) 342-6900
- Fax
- (615) 342-6899
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 33217 | AZ | |
| Surgery Physician | 208600000X | MD448565 | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 54798 | TN | Primary |
Addresses
Primary practice location
2400 Patterson St
Suite 307
Nashville, TN 37203-1562
Mailing address
2400 Patterson St
Suite 307
Nashville, TN 37203-1562
Phone (615) 342-6900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00219385 | Other | AZ | RAILROAD MEDICARE |
| 54798 | Other | TN | TN MEDICAL LICENSE |
| 891186 | Medicaid | AZ | |
| WCSKQ | Other | AZ | SUN HEALTH GROUP # |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD448565 | PA | MD | Surgery Physician |
| 54798 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Heart LLC | Past | Accepting new patients | |
| VHS Arizona Heart Institute Inc | Past | Accepting new patients | |
| Ahi Cardiovascular Surgeons LTD | Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Nashville, TN
- NPI 1245393057
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1457508723
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1659685782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1083615934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST",
"address_2": "SUITE 307",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031562",
"telephone_number": "615-342-6900",
"fax_number": "615-342-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST",
"address_2": "SUITE 307",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031562",
"telephone_number": "615-342-6900",
"fax_number": "615-342-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "GRAYSON",
"middle_name": "H",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "33217",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD448565",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "54798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00219385",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE",
"identifier": "54798",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891186",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUN HEALTH GROUP #",
"identifier": "WCSKQ",
"state": "AZ"
}
],
"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 Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.