Active NPI
Edward Clayton McDonald, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
National Provider Identifier
1306819834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 8814
- Practice address
- C2102 a MCN
1161 21St Ave S
Nashville, TN 37232-0001 - Phone
- (615) 322-3176
- Fax
- (615) 322-0511
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 8814 | TN | Primary |
| Cytopathology Physician | 207ZC0500X | 8814 | TN |
Addresses
Primary practice location
C2102 a MCN
1161 21St Ave S
Nashville, TN 37232-0001
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3011526 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emcdonald28675@direct.vumc.org | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8814 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of St. Thomas | Cytopathology | Current | Accepting new patients |
| Pathology Associates of St Thomas | Current | Accepting new patients |
Locations
4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111
4230 Harding Pike
Ste 1001
Nashville, TN 37205
Phone (615) 298-4100
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1831352103
-
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1073585774
Cytopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1306819834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691",
"telephone_number": "615-936-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C2102 A MCN",
"address_2": "1161 21ST AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-322-3176",
"fax_number": "615-322-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "EDWARD",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "8814",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "TN",
"license": "8814",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3011526",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emcdonald28675@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "C2102 A Mcn",
"address_2": "1161 21st Ave S",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.