Individual provider Active NPI

Anisa I Nayeem, M.D.

  • Nephrology Physician
  • Winchester, TN
National Provider Identifier
1205922606
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
47574 Issued in TN
Practice address
1383 S College St
Winchester, TN 37398-2414
Phone
(931) 327-2138
Fax
(931) 327-2139
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 47574 TN Primary

Addresses

Primary practice location

1383 S College St
Winchester, TN 37398-2414

Mailing address

1383 S College St
Winchester, TN 37398-2414
Phone (615) 628-8064

Other practice location 1

1524 Sparta St
McMinnville, TN 37110-1317
Phone (931) 507-5700

Other practice location 2

585 Interstate Dr Ste B
Manchester, TN 37355-3191
Phone (931) 218-2526

Other identifiers 1

IdentifierTypeStateIssuer
1524625MedicaidTN

Other names 1

  • Dr. Anisa Nayeem Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MI, LA, MS, AL, OH, GA, WV, DC, VA, FL11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20110729000123 TN Practitioner - Nephrology 6507866407 Reassigns benefits to 3 organizations
I20240822001104 MI Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20240828003339 LA Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20240909004229 MS Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20240928000061 AL Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20241001004206 OH Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20241218003730 GA Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20250828002341 WV Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20260203003076 DC Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20260220003150 VA Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization
I20260309003391 FL Practitioner - Nephrology 6507866407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Sep 2, 2014 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Jun 3, 2024 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Aug 22, 2024 Accepting new patients
Amg-Southern Tennessee LLC Current Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Oct 31, 2024 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Aug 8, 2024 Accepting new patients
Amg - Southern Tennessee, LLC Nephrology CurrentSince Sep 2, 2014 Accepting new patients
Monogram Health Professional Services PC Nephrology CurrentSince Aug 7, 2024 Accepting new patients
Southern Kidney Specialists, PLC Nephrology CurrentSince Apr 8, 2024 Accepting new patients
Monogram Health Professional Services of Florida LLC Nephrology CurrentSince Feb 10, 2026 Accepting new patients
Nra-McMinnville, Tennessee, LLC PastSince Jul 1, 2019 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139

256 Seaboard Ln
Ste F101
Franklin, TN 37067
Phone (313) 820-8997

585 Interstate Dr
Ste B
Manchester, TN 37355
Phone (931) 728-0902

1524 Sparta St
McMinnville, TN 37110
Phone (931) 474-4136

2201 Murphy Ave
Ste 303
Nashville, TN 37203
Phone (615) 573-7478

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

134 Hospital Rd
Winchester, TN 37398
Phone (931) 598-5691

1894 Cowan Hwy
Ste 2
Winchester, TN 37398
Phone (931) 962-4040

1383 S College St
Winchester, TN 37398
Phone (931) 962-3500

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: anisa.nayeem.1@22854.direct.athenahealth.com

Organizations & group practices 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1205922606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982414",
            "telephone_number": "615-628-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 S COLLEGE ST",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982414",
            "telephone_number": "931-327-2138",
            "fax_number": "931-327-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Sparta St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371101317",
            "country_code": "US",
            "telephone_number": "931-507-5700",
            "fax_number": "877-297-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 Interstate Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373553191",
            "country_code": "US",
            "telephone_number": "931-218-2526",
            "fax_number": "877-297-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAYEEM",
        "first_name": "ANISA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "47574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISA",
            "last_name": "NAYEEM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.