Individual provider Active NPI

Roderick Bryan Meese, MD

  • Cardiovascular Disease Physician
  • Winchester, TN
National Provider Identifier
1336134642
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
52365 Issued in TN
Practice address
186 Hospital Rd
Suite 200
Winchester, TN 37398-2472
Phone
(931) 967-1100
NPI assigned
Sep 13, 2005
Last updated
Feb 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 52365 TN Primary
Interventional Cardiology Physician 207RI0011X 52365 TN

Addresses

Primary practice location

186 Hospital Rd
Suite 200
Winchester, TN 37398-2472

Mailing address

186 Hospital Rd
Suite 200
Winchester, TN 37398-2472
Phone (931) 967-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100316000669 TX Practitioner - Cardiovascular Disease (Cardiology) 0547165565
I20150416002398 TN Practitioner - Cardiovascular Disease (Cardiology) 0547165565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 967-8200

81 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-0450

83 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-3966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52365TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Feb 9, 2015 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Feb 9, 2015 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139

183 Hospital Rd
Ste A
Winchester, TN 37398
Phone (931) 962-1110

183 Hospital Rd
Ste B
Winchester, TN 37398
Phone (931) 962-2272

186 Hospital Rd
Ste 200
Winchester, TN 37398
Phone (931) 962-9035

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: roderick.meese.1@19363.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1336134642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL RD",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982472",
            "telephone_number": "931-967-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 HOSPITAL RD",
            "address_2": "SUITE 200",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982472",
            "telephone_number": "931-967-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEESE",
        "first_name": "RODERICK",
        "middle_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "52365",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "52365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.