Zandra Renee Petway, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

27699 Issued in TN

Practice address

5115 Maryland Way
Ste 65
Brentwood, TN 37027

Phone

(615) 943-5503

Fax

(615) 884-0219

NPI assigned

Jul 31, 2006

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zpetway120476@direct.owensborohealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Afc Physicians of Tennessee, PC

  • Primary Care Clinic/Center
  • Chattanooga, TN
  • NPI 1114234523

  General Practice

  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  TN

  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  TN

  Medicare reassignment NPD
• Zandra Renee Petway MD,PC

  • General Practice Physician
  • Nashville, TN
  • NPI 1669646576
  NPD (past) Authorized official
• Afc Physicians of Tennessee, PC

  • General Practice Physician
  • Hendersonville, TN
  • NPI 1376884064
  NPD
• Afc Physicians of Tennessee, PC

  • General Practice Physician
  • Knoxville, TN
  • NPI 1649647249
  NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD
• Churchill Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sparta, TN
  • NPI 1932460607
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Sycamore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1346264975
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1265447619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2018",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370242018",
            "telephone_number": "615-933-5244",
            "fax_number": "615-884-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 MARYLAND WAY",
            "address_2": "STE 65",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-943-5503",
            "fax_number": "615-884-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETWAY",
        "first_name": "ZANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "27699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3802977",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laney Peters, CNIM
• Kevin Michael Peterson, DDS
• Lauren Peterson
• Mark William Petro, PHD
• Sophia Petro
• Amy Pfeffer
• Rowen S. Pfeifer, D.C.
• Mary Lauren Pfieffer, FNP-BC
• Caitlin Pflughaupt
• Larry J Pharris, M.D.

• General Practice Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.

Verify at the official NPI Registry.