Individual provider Active NPI

Fritz Wawa, M.D.

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1255400362
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27619 Issued in TN
Practice address
4126 Nolensville Pike
Nashville, TN 37211-4717
Phone
(615) 834-2170
Fax
(615) 833-6995
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27619 TN Primary

Addresses

Primary practice location

4126 Nolensville Pike
Nashville, TN 37211-4717

Mailing address

4126 Nolensville Pike
Nashville, TN 37211-4717
Phone (615) 834-2170

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
I20081204000467 TN Practitioner - Family Practice 8628139086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4126 Nolensville Pike
Nashville, TN 37211-4717

4126 Nolensville Rd
Nashville, TN 37211-4717
Phone (615) 834-2170

Hospital & facility affiliations

  • Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27619TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wawa LLC CurrentSince Sep 20, 2008 Accepting new patients
Primary Care Center Corp Past Accepting new patients

Locations

4126 Nolensville Rd
Nashville, TN 37211
Phone (615) 834-2164

Organizations & group practices 2

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 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1255400362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114717",
            "telephone_number": "615-834-2170",
            "fax_number": "615-833-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114717",
            "telephone_number": "615-834-2170",
            "fax_number": "615-833-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWA",
        "first_name": "FRITZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "27619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.