Active NPI
Cameron A Shearer Sr., M.D.
- Family Medicine Physician
- Mount Juliet, TN
National Provider Identifier
1437138641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD15792
- Practice address
- 3500 N Mount Juliet Rd
Mount Juliet, TN 37122-3078 - Phone
- (615) 758-5672
- Fax
- (615) 758-5609
- NPI assigned
- Jan 16, 2006
- 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 | MD15792 | TN | Primary |
Addresses
Primary practice location
3500 N Mount Juliet Rd
Mount Juliet, TN 37122-3078
Mailing address
3500 N Mount Juliet Rd
Mount Juliet, TN 37122-3078
Phone (615) 758-5672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3010169 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120213000173 | TN | Practitioner - Family Practice | 8628235025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15792 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Wilson Family Practice Center, P.C. | Current | Accepting new patients |
Locations
3500 N Mount Juliet Rd
Ste 201
Mt Juliet, TN 37122
Phone (615) 758-5672
3500 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 758-5672
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1478
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Mt Juliet, TN
- NPI 1598779837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1437138641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N MOUNT JULIET RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223078",
"telephone_number": "615-758-5672",
"fax_number": "615-758-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N MOUNT JULIET RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223078",
"telephone_number": "615-758-5672",
"fax_number": "615-758-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "CAMERON",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD15792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3010169",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.