Nontawan Benja-Athonsirikul
Individual provider Active NPI Obstetrics & Gynecology Physician · Nashville, TN
NPI 1104243476 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1104243476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 68873 (TN)
- Practice address
- 330 23Rd Ave N Ste 604
Nashville, TN 37203-1534 - Phone
- (615) 986-6039
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Diagnostic Imaging PC
Practice addresses (Care Compare)
330 23Rd Ave N
Suite 604
Nashville, TN 37203-1534
Phone (615) 329-7940
Hospital & facility affiliations
- Tristar Centennial Medical Center
- Ascension Saint Thomas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713003782 | NY | Practitioner - Obstetrics/Gynecology | 2860894854 | Reassigns benefits to 1 organization |
| I20230906002814 | TN | Practitioner - Obstetrics/Gynecology | 2860894854 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosh Maternal Fetal Medicine PLLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Advanced Diagnostic Imaging, PC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Advanced Diagnostic Imaging PC | Current |
Accepting new patients | |
| Judith Morris de Celis MD PC | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
213 Madison Ave
Ste 1A
New York, NY 10016
343 E 30th St
Lbby
New York, NY 10016
Phone (212) 679-2213
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Interoperability endpoints
- https://api.platform.athenahealth.com/21664/brand/1/csg/1/fhir/r4
- nontawan.benjaathonsirikul@ahp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 288951 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 68873 | TN | Yes |
Addresses
Primary practice location
330 23Rd Ave N Ste 604
Nashville, TN 37203-1534
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 1
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Other practice location 2
343 E 30th St Lbby Level
New York, NY 10016
Phone (212) 725-2172
Other providers in Nashville, TN
- Christine Bascos Bengson
- Alicia Nicole Benham
- Benhel Industries
- Benita Swartout DO PC
- Nancy Elizabeth Benitez
- Benjamin Holmes Counseling, PLLC
- Jennifer Benjamin
- Ramsey Benkert
- Alexander Bennatan
- Christian Clarence Bennerman
All providers in Nashville, TN · Obstetrics & Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.