NPIMap

Individual provider Active NPI

Elizabeth J. Maxwell, M.D.

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1407869647
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40178 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-2567
Phone
(615) 322-3000
NPI assigned
Aug 15, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40178 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-2567

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

1800 Medical Center Pkwy
Depaul Bldg. Ste 400
Murfreesboro, TN 37129-2567
Phone (615) 396-6800

Other identifiers 1

IdentifierTypeStateIssuer
1407869647OtherTNNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emaxwell708518@direct.vumc.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051105000288 TN Practitioner - Family Practice 3173586898 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40178TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Family Medicine CurrentSince Nov 13, 2021 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jul 9, 2021 Accepting new patients
Vanderbilt Health and Williamson Medical Center Clinics and Services, CurrentSince Nov 11, 2022 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Afc Physicians of Tennessee, PC Family Medicine CurrentSince Jul 9, 2021 Accepting new patients
Saint Thomas Medical Partners CurrentSince Mar 1, 2013 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Family Medicine Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

919 Murfreesboro Rd
Franklin, TN 37064
Phone (615) 791-7373

1800 Medical Center Pkwy
Ste 400
Murfreesboro, TN 37129
Phone (615) 396-6800

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

300 20th Ave N
Fl 9
Nashville, TN 37203

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

985 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-8500

2070 Wall St
Spring Hill, TN 37174
Phone (615) 567-8965

Interoperability endpoints

  • Direct secure messaging: emaxwell708518@direct.vumc.org
  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1407869647",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322567",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Medical Center Pkwy",
            "address_2": "Depaul Bldg. Ste 400",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292567",
            "country_code": "US",
            "telephone_number": "615-396-6800",
            "fax_number": "615-396-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ELIZABETH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "40178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407869647",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emaxwell708518@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.