William D Hughes, M.D.
Individual provider Active NPI Family Medicine Physician · Fayetteville, TN
NPI 1497862999 · NPPES record last updated Apr 4, 2014
Key facts
- NPI
- 1497862999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34383 (TN)
- Practice address
- 108 Medical Center Blvd
Suite G-50
Fayetteville, TN 37334-2741 - Phone
- (931) 438-4111
- Fax
- (866) 258-0817
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkway Medical Group, PC
Practice addresses (Care Compare)
108 Medical Ctr Blvd
Fayetteville, TN 37334-2741
Phone (931) 438-4111
Hospital & facility affiliations
- Lincoln Medical Home Health and Hospice
- Quality First Home Care
- Gentiva
- Gentiva II
- Lincoln Medical Center
- Singing River Gulfport
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 29 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000238 | TN | Practitioner - Family Practice |
1355374083 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34256 | KY | MD | Family Medicine Physician |
| 34383 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Medical Group, PC | Family Medicine | Current |
Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- williamhughes@pmgp-tn.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- williamhughes@parkwaymg.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34256 | KY | |
| Family Medicine Physician | 207Q00000X | 34383 | TN | Yes |
Addresses
Primary practice location
108 Medical Center Blvd
Suite G-50
Fayetteville, TN 37334-2741
Mailing address
108 Medical Center Blvd
Suite G-50
Fayetteville, TN 37334-2741
Phone (931) 438-4111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4015774 | Other | TN | BCBS TN |
| 89009848 | Other | AL | BCBS AL |
| 3854529 | Medicaid | TN |
NPI Registry JSON
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1497862999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MEDICAL CENTER BLVD",
"address_2": "SUITE G-50",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342741",
"telephone_number": "931-438-4111",
"fax_number": "866-258-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MEDICAL CENTER BLVD",
"address_2": "SUITE G-50",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342741",
"telephone_number": "931-438-4111",
"fax_number": "866-258-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "WILLIAM",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "34256",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "34383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4015774",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "89009848",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3854529",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
- Margaret Maranda Honea
- Sharon Denise Honea
- Kelly Marie Honey
- Nathan Daniel Hopkins
- Brandi N Howanitz
- Independent Physical Therapy
- Joeleana Irvine
- Edna Darlene Jenkins
- Amanda Nicole Johnson
- Baylee Johnson
All providers in Fayetteville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.