Individual provider Active NPI

Melvin Williams, DPM

  • Foot & Ankle Surgery Podiatrist
  • Murfreesboro, TN
National Provider Identifier
1295762789
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM 479 Issued in TN
Practice address
1725 Medical Center Parkway
St 110
Murfreesboro, TN 37129
Phone
(615) 494-1234
Fax
(615) 494-1236
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM 479 TN Primary

Addresses

Primary practice location

1725 Medical Center Parkway
St 110
Murfreesboro, TN 37129

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

370 Doolittle Rd Ste 4
Woodbury, TN 37190-1129
Phone (615) 494-1234

Other practice location 2

225 N Willow Ave
Cookeville, TN 38501-2451
Phone (615) 494-1234

Other identifiers 1

IdentifierTypeStateIssuer
3352641MedicaidTN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000302 TN Practitioner - Podiatry 1355354754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions19
Removal of nail tissue846
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM 479TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jul 1, 2020 Accepting new patients
Williams Surgery Center, Inc. CurrentSince Dec 12, 2014 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jul 1, 2020 Accepting new patients
Williams Foot Center Foot & Ankle Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

225 N Willow Ave
Ste 3
Cookeville, TN 38501
Phone (931) 528-8899

225 N Willow Ave
Cookeville, TN 38501
Phone (931) 372-8227

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1725 Medical Center Pkwy
Ste 120
Murfreesboro, TN 37129
Phone (615) 494-1234

1725 Medical Center Pkwy
Ste 220
Murfreesboro, TN 37129
Phone (615) 217-0259

1725 Medical Center Pkwy
Ste 110
Murfreesboro, TN 37129
Phone (615) 494-1234

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

370 Doolittle Rd
Ste 4
Woodbury, TN 37190
Phone (615) 494-1234

Interoperability endpoints

  • Direct secure messaging: melvin.williams@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1295762789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PARKWAY",
            "address_2": "ST 110",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-494-1234",
            "fax_number": "615-494-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Doolittle Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "TN",
            "postal_code": "371901129",
            "country_code": "US",
            "telephone_number": "615-494-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 N Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012451",
            "country_code": "US",
            "telephone_number": "615-494-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELVIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM 479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352641",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.