Individual provider Active NPI

William Jake Lancaster, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1205279437
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54260 Issued in TN
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120
Phone
(901) 226-3610
NPI assigned
Apr 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 54260 TN
Internal Medicine Physician 207R00000X 54260 TN Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

2000 Church St
Box 102, IP Hospitalist
Nashville, TN 37236-4400
Phone (615) 284-4672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150805008950 AL Practitioner - Internal Medicine 9032350376 Reassigns benefits to 1 organization
I20161018002367 TN Practitioner - Internal Medicine 9032350376 Reassigns benefits to 3 organizations
I20230922003214 MS Practitioner - Internal Medicine 9032350376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC Hospitalist CurrentSince Jun 21, 2015 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 18, 2023 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jun 21, 2015 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 23, 2019 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Sep 23, 2019 Accepting new patients

Locations

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

363 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (662) 772-5222

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031

300 20th Ave N
Fl 9
Nashville, TN 37203

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

2000 Church St
#102
Nashville, TN 37236
Phone (615) 284-4672

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: wlancaster308382@direct.bmhcc.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1205279437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-226-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Church St",
            "address_2": "Box 102, IP Hospitalist",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372364400",
            "country_code": "US",
            "telephone_number": "615-284-4672",
            "fax_number": "615-284-5752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "WILLIAM",
        "middle_name": "JAKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "54260",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "54260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.