NPIMap

Organization Active NPI

Tennessee Oncology,PLLC

  • Radiation Oncology Physician
  • Nashville, TN
National Provider Identifier
1164595070
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 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
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Pattie Douglas
Title
Payer Relations Manager
Phone
(615) 514-3042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary
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 2

IdentifierTypeStateIssuer
3709319MedicaidTN
37093101MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1635 Gunbarrel Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 778-8525

605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077

105 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

225 Big Station Camp Blvd
Ste 104
Gallatin, TN 37066
Phone (615) 328-6170

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1164595070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440261",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440261",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 20th Ave N",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032131",
            "country_code": "US",
            "telephone_number": "615-329-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENNESSEE ONCOLOGY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PATTIE",
        "authorized_official_title_or_position": "PAYER RELATIONS MANAGER",
        "authorized_official_telephone_number": "615-514-3042"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709319",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37093101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.