Tennessee Oncology,PLLC
Organization Active NPI Radiation Oncology Physician · Nashville, TN
NPI 1164595070 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1164595070
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- TENNESSEE ONCOLOGY,PLLC
- Practice address
- 2004 Hayes St Ste 800
Nashville, TN 37203-2659 - Phone
- (615) 329-0570
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Pattie Douglas
- Title
- Payer Relations Manager
- Phone
- (615) 514-3042
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 6
Practitioners 385
-
Davey B. Daniel, MD
-
John Arthur Fortney, M.D.
-
April Gatlin, NP-C
-
Amanda Brooke Houston, NP-C
-
Mira Rohit Patel, DO
-
Tiffany Richardson, PHYSICIAN ASSISTANT
-
Jennifer R. Spry, PA-C
-
Gregory Ryan Sutton, M.D.
-
Harsha Gadadhar Vardhana, M.D.
-
Marcus M Wagner, M.D.
-
Mark S Womack IV, M.D.
-
Tru-Khang Dinh, M.D.
-
Jaime Elaine Pesl, NP-C
-
William Bruce Donnellan, M.D.
-
Derek Weldon Holland, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000534 | TN | Part B Supplier - Clinic/Group Practice | 4688586134 |
Receives reassigned benefits from 475 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20130130000040 | GA | Part B Supplier - Clinic/Group Practice | 4688586134 |
Receives reassigned benefits from 37 practitioners 2 other NPIs on this enrollment Practice locations: Lookout Mountain, GA; Dalton, GA; Ringgold, GA |
National Provider Directory
Locations
105 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900
4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330
225 Big Station Camp Blvd
Ste 104
Gallatin, TN 37066
Phone (615) 328-6170
353 New Shackle Island Rd
Ste 204A
Hendersonvlle, TN 37075
Phone (615) 451-5481
103 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 453-5623
2004 Hayes St
Ste LL15
Nashville, TN 37203
Phone (615) 284-7785
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes | ||
| Therapeutic Radiology Physician |
2085R0203X |
Addresses
Primary practice location
2004 Hayes St Ste 800
Nashville, TN 37203-2659
Mailing address
PO Box 440261
Nashville, TN 37244-0261
Phone (615) 329-0570
Other practice location 1
300 20th Ave N
Ste 301
Nashville, TN 37203-2131
Phone (615) 329-0570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37093101 | Medicaid | TN | |
| 3709319 | Medicaid | TN |
Other providers in Nashville, TN
- Tennessee Oncology PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology,PLLC
- Tennessee Oncology,PLLC
- Tennessee Orthopaedic Alliance PA
- Tennessee Orthopaedic Alliance PA
- Tennessee Orthopaedic Alliance PA
- Tennessee Orthopaedic Alliance PA
All providers in Nashville, TN · Radiation Oncology 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 Mar 17, 2018. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.