Active NPI
Ronald Guy Twilla, M.D.
- Family Medicine Physician
- Milan, TN
National Provider Identifier
1215014717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000009018
- Practice address
- 4039 Highland St
Suite 5
Milan, TN 38358-3483 - Phone
- (731) 686-1516
- Fax
- (731) 686-1518
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000009018 | TN | Primary |
Addresses
Primary practice location
4039 Highland St
Suite 5
Milan, TN 38358-3483
Mailing address
4039 Highland St
Suite 5
Milan, TN 38358-3483
Phone (731) 686-1516
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7794494 | Other | TN | CIGNA |
| 3172759 | Medicaid | TN | |
| 0202280 | Other | TN | BLUECROSS BLUESHIELD |
| 4535362 | Other | TN | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050516000846 | TN | Practitioner - Family Practice | 0547201931 | Practice locations: Milan, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9018 | TN | MD | Clinical Social Worker |
| MD0000009018 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215014717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4039 HIGHLAND ST",
"address_2": "SUITE 5",
"city": "MILAN",
"state": "TN",
"postal_code": "383583483",
"telephone_number": "731-686-1516",
"fax_number": "731-686-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4039 HIGHLAND ST",
"address_2": "SUITE 5",
"city": "MILAN",
"state": "TN",
"postal_code": "383583483",
"telephone_number": "731-686-1516",
"fax_number": "731-686-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWILLA",
"first_name": "RONALD",
"middle_name": "GUY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000009018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7794494",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3172759",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "0202280",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4535362",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milan, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.