Individual provider Active NPI

William Taggart, PA-C

  • Physician Assistant
  • Madison, TN
National Provider Identifier
1295068633
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3558 Issued in TN
Practice address
2003 Gallatin Pike N
Madison, TN 37115
Phone
(615) 846-9850
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3558 TN Primary

Addresses

Primary practice location

2003 Gallatin Pike N
Madison, TN 37115

Mailing address

161 Dogwood Springs Dr
Portland, TN 37148-5913
Phone (615) 681-9895

Other practice location 1

1650 Cochrane Cir
Fort Carson, CO 80913-4603
Phone (719) 526-7646

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501002964 TN Practitioner - Physician Assistant 4789931080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Enterprise LLCGroup PAC ID 5496998155, 70 clinicians

Practice addresses (Care Compare)

1117 B Nashville Pike
Gallatin, TN 37066-3163
Phone (615) 989-9560

280 Indian Lake Blvd
Suite 140
Hendersonville, TN 37075-6357
Phone (615) 590-1440

4107 Hillsboro Pike
Nashville, TN 37215-2749
Phone (615) 292-0012

7602 Hwy 70 S
Suite 101
Bellevue, TN 37221-1893
Phone (629) 401-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3558TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 13, 2023 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Dec 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 13, 2023 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Dec 1, 2023 Accepting new patients
Carespot of Murfreesboro (1340 Broad Street), LLC PastSince Dec 9, 2019 Accepting new patients

Locations

710 Nashville Pike
Ste B
Gallatin, TN 37066
Phone (615) 502-0170

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Organizations & group practices 6

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1295068633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 DOGWOOD SPRINGS DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371485913",
            "telephone_number": "615-681-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-846-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cochrane Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809134603",
            "country_code": "US",
            "telephone_number": "719-526-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.