Individual provider Active NPI

Willie James Myers Jr., MD

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1265869853
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19229 Issued in TN
Practice address
2720 Clarksville Pike
Nashville, TN 37208-1259
Phone
(615) 730-9450
Fax
(615) 730-9450
NPI assigned
Sep 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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 19229 TN Primary

Addresses

Primary practice location

2720 Clarksville Pike
Nashville, TN 37208-1259

Mailing address

3903 Brush Hill Rd
Nashville, TN 37216-1903
Phone (615) 730-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19229TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Rutherford Office of Budget Director Past Accepting new patients

Organizations & group practices 1

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1265869853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 BRUSH HILL RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372161903",
            "telephone_number": "615-730-9450",
            "fax_number": "615-730-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 CLARKSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081259",
            "telephone_number": "615-730-9450",
            "fax_number": "615-730-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "WILLIE",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "19229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.