Individual provider Active NPI

Rodney Brandon Mewbourne, M.D.

  • Surgery Physician
  • Gallatin, TN
National Provider Identifier
1376751602
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42658 Issued in TN
Practice address
300 Steam Plant Rd Ste 470
Gallatin, TN 37066-3066
Phone
(615) 328-3730
Fax
(615) 328-3731
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 42658 TN Primary

Addresses

Primary practice location

300 Steam Plant Rd Ste 470
Gallatin, TN 37066-3066

Mailing address

300 Steam Plant Rd Ste 470
Gallatin, TN 37066-3066
Phone (615) 328-3730

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000737 TN Practitioner - General Surgery 0648363739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

300 Steam Plant Rd
Suite 430
Gallatin, TN 37066-3089
Phone (615) 328-3700

Hospital & facility affiliations

  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue35
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42658TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Mar 15, 2021 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Jul 1, 2021 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Saint Thomas Medical Partners CurrentSince Apr 1, 2016 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Mar 15, 2021 Accepting new patients
Sumner Physician Practices LLC Surgery CurrentSince Jul 1, 2021 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

110 Saint Blaise Rd
Ste 200
Gallatin, TN 37066

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

323 Steam Plant Rd
Gallatin, TN 37066
Phone (615) 452-0035

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

300 Steam Plant Rd
Ste 470
Gallatin, TN 37066
Phone (615) 206-1700

300 Steam Plant Rd
Ste 430
Gallatin, TN 37066
Phone (615) 328-3390

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

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

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

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: rodney.mewbourne.1@19363.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1376751602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 470",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663066",
            "telephone_number": "615-328-3730",
            "fax_number": "615-328-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD STE 470",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663066",
            "telephone_number": "615-328-3730",
            "fax_number": "615-328-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWBOURNE",
        "first_name": "RODNEY",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "42658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.