NPIMap

Individual provider Active NPI

William R Turner, MD

  • Internal Medicine Physician
  • Dyersburg, TN
National Provider Identifier
1144215187
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25265 Issued in TN
Practice address
1700 Woodlawn Ave
Dyersburg, TN 38024-2028
Phone
(731) 287-4500
Fax
(731) 287-4804
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25265 TN Primary

Addresses

Primary practice location

1700 Woodlawn Ave
Dyersburg, TN 38024-2028

Mailing address

PO Box 3669
Jackson, TN 38303-3669
Phone (731) 660-8730

Other identifiers 2

IdentifierTypeStateIssuer
3818846MedicaidTN
P00343666OtherTNRR MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000632 TN Practitioner - Family Practice 1850366683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

1720 Woodlawn Ave
Dyersburg, TN 38024-1300
Phone (731) 421-6510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25265TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates CurrentSince Oct 1, 2019 Accepting new patients
WT Medical Associates Internal Medicine Current Accepting new patients
WT Medical Associates CurrentSince Oct 1, 2019 Accepting new patients
Scott County Medical Clinic Inc Past Accepting new patients
West Tennessee Medical Group Inc Internal Medicine Past Accepting new patients

Locations

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 286-1115

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

1720 Woodlawn Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-2100

1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

Interoperability endpoints

  • Direct secure messaging: wturner17783@directepic.wth.org

Organizations & group practices 5

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 6

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1144215187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3669",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383033669",
            "telephone_number": "731-660-8730",
            "fax_number": "731-660-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242028",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3818846",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00343666",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.