Individual provider Active NPI

William D Tissot, MD

  • Urology Physician
  • Franklin, TN
National Provider Identifier
1083668594
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
40923 Issued in TN
Practice address
4601 Carothers Pkwy
Suite 475
Franklin, TN 37067
Phone
(615) 790-1660
Fax
(615) 790-3705
NPI assigned
May 20, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 40923 TN Primary

Addresses

Primary practice location

4601 Carothers Pkwy
Suite 475
Franklin, TN 37067

Mailing address

PO Box 409879
Atlanta, GA 30384-9879
Phone (615) 261-6000

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
I20060727000099 TN Practitioner - Urology 7416960091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Ohio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates PCGroup PAC ID 2961392931, 42 clinicians

Practice addresses (Care Compare)

2801 Charlotte Ave
Nashville, TN 37209-4035
Phone (615) 250-9200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40923TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates PC Urology CurrentSince Aug 1, 2012 Accepting new patients

Locations

4601 Carothers Pkwy
Ste 475
Franklin, TN 37067
Phone (615) 250-9285

2801 Charlotte Ave
Nashville, TN 37209
Phone (615) 250-9249

Interoperability endpoints

  • Direct secure messaging: williamdavidtissot@uroassoc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1083668594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409879",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849879",
            "telephone_number": "615-261-6000",
            "fax_number": "615-261-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CAROTHERS PKWY",
            "address_2": "SUITE 475",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-790-1660",
            "fax_number": "615-790-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSOT",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "40923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.