Individual provider Active NPI

William Howard Polk Jr., M.D.

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1356349963
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TN18791 Issued in TN
Practice address
410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone
(615) 329-7887
Fax
(615) 346-6225
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TN18791 TN Primary

Addresses

Primary practice location

410 42ND Ave N Ste 400
Nashville, TN 37209-3658

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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
I20080428000189 TN Practitioner - General Surgery 2264321124 Reassigns benefits to 2 organizations
I20220915003932 KY Practitioner - General Surgery 2264321124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1325 Andrea St
Suite 207
Bowling Green, KY 42104-5854
Phone (615) 329-7887

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (615) 329-7887

410 42ND Ave N
Suite 400
Nashville, TN 37209-3658

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion69
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TN18791TNMDSurgery Physician
18791TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
Tennessee Oncology CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC Surgery CurrentSince Apr 30, 2008 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients

Locations

1325 Andrea St
Ste 207
Bowling Green, KY 42104
Phone (270) 770-4500

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

315 N Washington Ave
Ste 230
Cookeville, TN 38501
Phone (931) 400-0995

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

356 24th Ave N
Ste 400
Nashville, TN 37203

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

4230 Harding Pike
Ste 525
Nashville, TN 37205

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: william.polkjr@tsclinic.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA
  • Direct secure messaging: wpolk@direct.uspi.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1356349963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "WILLIAM",
        "middle_name": "HOWARD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "TN18791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.