Active NPI
Cecily Michelle Mercadel-Williams, D.D.S.
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1275878803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7602
- Practice address
- 197 Thompson LN
Suite E
Nashville, TN 37211-2415 - Phone
- (615) 837-4525
- Fax
- (615) 837-6732
- NPI assigned
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7602 | TN | Primary |
Addresses
Primary practice location
197 Thompson LN
Suite E
Nashville, TN 37211-2415
Mailing address
197 Thompson LN
Suite E
Nashville, TN 37211-2415
Phone (615) 837-4525
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160603000849 | TN | Order and Referring Only - Other (Non-Physician) | 3971893983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7602 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1275878803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 THOMPSON LN",
"address_2": "SUITE E",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112415",
"telephone_number": "615-837-4525",
"fax_number": "615-837-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 THOMPSON LN",
"address_2": "SUITE E",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112415",
"telephone_number": "615-837-4525",
"fax_number": "615-837-6732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADEL-WILLIAMS",
"first_name": "CECILY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "7602",
"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 Dec 7, 2012; 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.