NPIMap

Organization Active NPI

St. Thomas Medical Group PLLC

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1467472258
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. THOMAS MEDICAL GROUP PLLC
Practice address
4230 Harding Pike
Suite 400
Nashville, TN 37205-2013
Phone
(615) 297-2700
Fax
(615) 386-2399
NPI assigned
Jul 21, 2006
Last updated
Feb 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
William P. Grayson
Title
Executive Director
Phone
(615) 250-4142

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Acute Care Nurse Practitioner 363LA2100X
Family Nurse Practitioner 363LF0000X
Internal Medicine Physician 207R00000X Primary
Cardiovascular Disease Physician 207RC0000X
Gastroenterology Physician 207RG0100X
Pulmonary Disease Physician 207RP1001X
Otolaryngology Physician 207Y00000X
Audiologist 231H00000X

Addresses

Primary practice location

4230 Harding Pike
Suite 400
Nashville, TN 37205-2013

Mailing address

104 Woodmont Blvd
Suite LL50
Nashville, TN 37205-2382
Phone (615) 386-2300

Other identifiers 7

IdentifierTypeStateIssuer
3721520MedicaidTN
166556000OtherTNOWCP DOL WORK COMP - MEDICAL PROVIDERS
4019754OtherTNBLUE CROSS OF TN
10074025OtherTNAMERIGROUP
613258400OtherTNOWCP - DOL AUDIOLOGISTS
65940066MedicaidKY
CB3852OtherTNMEDICARE RR

National Provider Directory

National Provider Directory

Locations

5000 Crossings Cir
Ste 200
Mt Juliet, TN 37122
Phone (615) 453-7440

100 Kenner Ave
Nashville, TN 37205
Phone (615) 386-2300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBFIAA

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1467472258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD",
            "address_2": "SUITE LL50",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052382",
            "telephone_number": "615-386-2300",
            "fax_number": "615-386-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE",
            "address_2": "SUITE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-297-2700",
            "fax_number": "615-386-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THOMAS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-250-4142"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721520",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DOL WORK COMP - MEDICAL PROVIDERS",
            "identifier": "166556000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "4019754",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10074025",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - DOL AUDIOLOGISTS",
            "identifier": "613258400",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940066",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CB3852",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.