Individual provider Active NPI

Willie Melvin, MD

  • Surgery Physician
  • Smyrna, TN
National Provider Identifier
1487741583
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD26734 Issued in TN
Practice address
515 Stonecrest Pkwy Ste 230
Smyrna, TN 37167-6829
Phone
(615) 223-9935
Fax
(615) 891-5046
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 MD26734 TN Primary

Addresses

Primary practice location

515 Stonecrest Pkwy Ste 230
Smyrna, TN 37167-6829

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

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
I20090429000635 TN Practitioner - General Surgery 3375691405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Meharry Medical College School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)16
Upper gastrointestinal (GI) endoscopy for acid reflux89
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26734TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology CurrentSince Dec 1, 2024 Accepting new patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC Surgery CurrentSince Aug 1, 2015 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Jeffrey a Larsen MD PLLC Surgery Past Accepting new patients

Locations

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

53 Century Blvd
Ste 120
Nashville, TN 37214

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

300 Stonecrest Blvd
Ste 360
Smyrna, TN 37167
Phone (615) 223-9935

521 Stonecrest Pkwy
Ste 200
Smyrna, TN 37167
Phone (615) 223-9935

515 Stonecrest Pkwy
Ste 230
Smyrna, TN 37167
Phone (615) 223-9935

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: willie.melvin@tsclinic.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Organizations & group practices 11

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1487741583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY STE 230",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676829",
            "telephone_number": "615-223-9935",
            "fax_number": "615-891-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "WILLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD26734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.