Individual provider Active NPI

Ryan Michael Whitaker, MD

  • Radiation Oncology Physician
  • Dickson, TN
National Provider Identifier
1194266304
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
58544 Issued in TN
Practice address
105 Natchez Park Dr
Dickson, TN 37055-9013
Phone
(615) 326-3000
Fax
(615) 326-3031
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 58544 TN Primary

Addresses

Primary practice location

105 Natchez Park Dr
Dickson, TN 37055-9013

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

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
I20220715001863 TN Practitioner - Radiation Oncology 2567843931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 2017
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)

105 Natchez Park Dr
Dickson, TN 37055-9013
Phone (615) 326-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58544TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lebanon Radiation Oncology Center CurrentSince Sep 19, 2025 Accepting new patients
Tennessee Oncology PLLC CurrentSince Jul 1, 2025 Accepting new patients
Tennessee Oncology,PLLC Radiation Oncology CurrentSince Jul 1, 2025 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients
Vanderbilt University PastSince Aug 7, 2022 Accepting new patients
Alive Hospice, Inc Past Accepting new patients

Locations

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

4588 Carothers Pkwy
Franklin, TN 37067
Phone (615) 716-4747

101 Physicians Way
Ste 111
Lebanon, TN 37090
Phone (615) 235-8700

101 Physicians Way
Lebanon, TN 37090
Phone (615) 466-5200

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

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

2114 N Jackson St
Tullahoma, TN 37388
Phone (931) 454-9002

Organizations & group practices 6

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 2

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1194266304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570",
            "fax_number": "615-329-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NATCHEZ PARK DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370559013",
            "telephone_number": "615-326-3000",
            "fax_number": "615-326-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "58544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.