Swan Urogynecology, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SWAN UROGYNECOLOGY, PC

Practice address

329 21St Avenue North
Suite 1
Nashville, TN 37203-1857

Phone

(615) 515-9180

Fax

(615) 712-7647

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Tabitha Mondrage, M.A.

Title

Office Manager

Phone

(615) 515-9180

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Swan Urogynecology PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Swan Urogynecology PC

  • Medical Specialty Clinic/Center
  • Dickson, TN
  • NPI 1093086399
  NPD tax ID
• Swan Urogynecology PC

  • Medical Specialty Clinic/Center
  • Springfield, TN
  • NPI 1134491814
  NPD tax ID
• Swan Urogynecology PC

  • Medical Specialty Clinic/Center
  • Nashville, TN
  • NPI 1225300908
  NPD tax ID
• Swan Urogynecology PC

  • Medical Specialty Clinic/Center
  • Shelbyville, TN
  • NPI 1598037277
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Charles Swan, MD

  • Obstetrics & Gynecology Physician
  • Nashville, TN
  • NPI 1861488777
  Medicare reassignment
• Galia Ann Williams, LCSW

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1235291402
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104105873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 21ST AVENUE NORTH",
            "address_2": "SUITE 1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031857",
            "telephone_number": "615-515-9180",
            "fax_number": "615-712-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 21ST AVENUE NORTH",
            "address_2": "SUITE 1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031857",
            "telephone_number": "615-515-9180",
            "fax_number": "615-712-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN UROGYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONDRAGE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-515-9180",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526073",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5347655",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4296723",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1104105873",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Ryan Swafford, CRNA
• Emily Payton Swafford, MD
• Adina Swallows, PTA
• Neeraja Swaminathan, MD
• Swan Urogynecology PC
• Michael Charles Swan, MD
• Rebecca Swan, MD
• Madison Colleen Swaney, MD
• Sarah Swaney, LMSW
• Ronald A Swang, DDS

• Medical Specialty Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.