Individual provider Active NPI

William K Sutton, M.D.

  • Obstetrics Physician
  • Livingston, TN
National Provider Identifier
1437136751
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
62124 Issued in TN
Practice address
529 Medical Dr
Livingston, TN 38570-1880
Phone
(931) 823-9970
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01052108 IN
Obstetrics Physician 207VX0000X 62124 TN Primary

Addresses

Primary practice location

529 Medical Dr
Livingston, TN 38570-1880

Mailing address

221 N Celia Ave
Attn: Debera Barker
Muncie, IN 47303-4609
Phone (765) 282-8905

Other practice location 1

210 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 286-3900

Other identifiers 4

IdentifierTypeStateIssuer
200240760AMedicaidIN
000000083913OtherINANTHEM
160049155OtherINMEDICARE RAILROAD
351425221101OtherINCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, 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
I20200923003223 SC Practitioner - Obstetrics/Gynecology 0648233072 Reassigns benefits to 2 organizations
I20210521000006 TN Practitioner - Obstetrics/Gynecology 0648233072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Livingston LLCGroup PAC ID 1052225760, 18 clinicians

Practice addresses (Care Compare)

110 Doctors Dr
Celina, TN 38551-5092
Phone (931) 243-3860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052108INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Obstetrics & Gynecology CurrentSince Aug 28, 2020 Accepting new patients
McLeod Health Clarendon CurrentSince Aug 28, 2020 Accepting new patients
Amg-Livingston LLC Current Accepting new patients
Amg - Livingston, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
Voss Center for Women, PC Obstetrics & Gynecology Current Accepting new patients
Amg - Livingston, LLC CurrentSince Jul 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Aug 28, 2020 Accepting new patients
McLeod Health Clarendon Obstetrics & Gynecology CurrentSince Aug 28, 2020 Accepting new patients
Amg Livingston LLC Obstetrics Past Accepting new patients

Locations

210 N Tillotson Ave
Muncie, IN 47304
Phone (765) 286-3900

706 N 8th Ave
Dillon, SC 29536
Phone (843) 777-5605

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 433-0797

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

110 Doctors Dr
Celina, TN 38551
Phone (931) 243-3860

700 W Main St
Livingston, TN 38570
Phone (931) 823-9970

500 W Main St
Livingston, TN 38570
Phone (931) 823-4016

529 Medical Dr
Livingston, TN 38570
Phone (931) 403-1710

Interoperability endpoints

  • Direct secure messaging: wsutton27921@directmcleodehealth.org
  • Direct secure messaging: william.sutton.1@25766.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1437136751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CELIA AVE",
            "address_2": "ATTN: DEBERA BARKER",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034609",
            "telephone_number": "765-282-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MEDICAL DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701880",
            "telephone_number": "931-823-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Tillotson Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473043988",
            "country_code": "US",
            "telephone_number": "765-286-3900",
            "fax_number": "765-281-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01052108",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "62124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200240760A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000083913",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160049155",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "351425221101",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

Verify at the official NPI Registry.