Active NPI
John Williams Ross, MD
- Family Medicine Physician
- Dickson, TN
National Provider Identifier
1356736854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 57612
- Practice address
- 1904 Highway 46 S Ste 3
Dickson, TN 37055-7745 - Phone
- (615) 441-6000
- NPI assigned
- Apr 1, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57612 | TN | Primary |
Addresses
Primary practice location
1904 Highway 46 S Ste 3
Dickson, TN 37055-7745
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093
Other practice location 1
5000 Crossings Cir Ste 101
Mount Juliet, TN 37122-8591
Phone (615) 553-5000
Other practice location 2
1501 12th Ave S
Nashville, TN 37203-4909
Phone (615) 441-6000
Other practice location 3
1492 Tiny Town Rd Ste A1-A2
Clarksville, TN 37042-7873
Phone (615) 553-5000
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 |
|---|---|---|---|
| 57612 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1356736854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 HIGHWAY 46 S STE 3",
"city": "DICKSON",
"state": "TN",
"postal_code": "370557745",
"telephone_number": "615-441-6000"
}
],
"practiceLocations": [
{
"address_1": "5000 Crossings Cir Ste 101",
"address_purpose": "LOCATION",
"city": "Mount Juliet",
"state": "TN",
"postal_code": "371228591",
"country_code": "US",
"telephone_number": "615-553-5000",
"fax_number": "615-758-3875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 12th Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372034909",
"country_code": "US",
"telephone_number": "615-441-6000",
"fax_number": "615-375-8469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1492 Tiny Town Rd Ste A1-A2",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370427873",
"country_code": "US",
"telephone_number": "615-553-5000",
"fax_number": "615-758-3875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "JOHN",
"middle_name": "WILLIAMS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "57612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.