Active NPI
William M Petrie, MD
- Psychiatry Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD10599
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-3133 - Phone
- (615) 936-2000
- NPI assigned
- Jan 4, 2006
- Last updated
- Aug 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD10599 | TN | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | MD10599 | TN |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-3133
Mailing address
121 Middleton Cir
Nashville, TN 37215-5330
Other practice location 1
1601 23rd Ave S
Nashville, TN 37212-3133
Phone (615) 310-7827
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260010805 | Other | TN | RAILROAD MEDICARE |
| 2007410 | Other | TN | BCBS |
| 3199286 | Medicaid | TN | |
| 1520718 | Other | TN | UNITED HEALTHCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wpetrie30925@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Amsden Ave
Versailles, KY 40383-1851
Phone (859) 873-3111
500 Church St
Hartsville, TN 37074-1744
Phone (615) 374-2221
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10599 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Evizzit of Iowa Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients |
Locations
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
500 Church St
Hartsville, TN 37074
Phone (615) 374-2221
300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Interoperability endpoints
- wpetrie30925@direct.vumc.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Integrated Telehealth Partners
- Psychiatry Physician
- West Des Moines, IA
- NPI 1740841188
KY, TN
-
dba AdvancedHealth
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
dba Ankle and Foot Centers of Nashville
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Saint Thomas Hickman
- Critical Access Hospital
- Centerville, TN
- NPI 1245275254
-
dba Highpoint Health - Trousdale with Ascension Saint Thomas
- Critical Access Hospital
- Hartsville, TN
- NPI 1467763458
-
dba Mercy Health Marcum and Wallace Hospital
- Critical Access Hospital
- Irvine, KY
- NPI 1487643821
-
dba Bluegrass Community Hospital
- Critical Access Hospital
- Versailles, KY
- NPI 1588745012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1518945195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MIDDLETON CIR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372155330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372323133",
"telephone_number": "615-936-2000"
}
],
"practiceLocations": [
{
"address_1": "1601 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372123133",
"country_code": "US",
"telephone_number": "615-310-7827",
"fax_number": "615-936-6656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRIE",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD10599",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TN",
"license": "MD10599",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260010805",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2007410",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3199286",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1520718",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wpetrie30925@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372323133",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.