Individual provider Active NPI

Mark Wayne Shelton, MD

  • Vascular Surgery Physician
  • Nashville, TN
National Provider Identifier
1174574214
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
024579 Issued in TN
Practice address
393 Wallace Rd Ste 301
Nashville, TN 37211-4834
Phone
(615) 425-0550
Fax
(615) 833-8287
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 024579 TN Primary

Addresses

Primary practice location

393 Wallace Rd Ste 301
Nashville, TN 37211-4834

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Other identifiers 1

IdentifierTypeStateIssuer
3730870MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001511 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 6002709359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion57
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP837KYMDPediatrics Physician
024579TNMDVascular Surgery Physician
24579TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Vascular Surgery CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC CurrentSince Feb 1, 2021 Accepting new patients
Surgical Group PSC Past Accepting new patients
Vascular Specialists,PLLC Past Accepting new patients
Mark W. Shelton M.D. PLLC Vascular Surgery PastSince Jul 15, 2005 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

393 Wallace Rd
Ste 301
Nashville, TN 37211
Phone (615) 425-0550

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

515 Stonecrest Pkwy
Ste 230
Smyrna, TN 37167
Phone (615) 223-9935

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

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 3

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1174574214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-781-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114834",
            "telephone_number": "615-425-0550",
            "fax_number": "615-833-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "024579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730870",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.