Individual provider Active NPI

Celeste Good Woolum, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1548517477
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2915 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-1234
Phone
(615) 322-3000
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01653 WV
Physician Assistant 363A00000X 2915 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-1234

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

500 Tennessee Waltz Pkwy
Ashland City, TN 37015-1234
Phone (615) 792-6220

Other identifiers 2

IdentifierTypeStateIssuer
7100219630OtherKYMEDICAID
0072238MedicaidOH

Other names 1

  • Celeste Dawn Good Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwoolum713623@direct.vumc.org Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725000509 TN Practitioner - Physician Assistant 6204086390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

Practice addresses (Care Compare)

129 N Anderson LN
Hendersonville, TN 37075-6911
Phone (615) 322-5000

2410 8TH Ave S
Nashville, TN 37204-2490
Phone (615) 343-5700

2410 Franklin Pike
Nashville, TN 37204-2227
Phone (615) 936-5858

2603 Bransford Ave
Nashville, TN 37204-2811
Phone (615) 259-8755

2608 8TH Ave S
Nashville, TN 37204-2584

262 New Shackle Island Rd
Suite 207
Hendersonville, TN 37075-2489
Phone (615) 822-5437

2694 Fessey CT
Nashville, TN 37204-2813
Phone (615) 259-8755

305 Indian Lake Blvd
Suite 240
Hendersonville, TN 37075-6383
Phone (615) 865-1860

719 Thompson LN
Nashville, TN 37204-3609
Phone (615) 322-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2915TNMDClinical Psychologist
01653WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Physicians Alliance PC CurrentSince May 22, 2017 Accepting new patients
Vanderbilt University Medical Center CurrentSince Jun 8, 2022 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

264 New Shackle Island Rd
Ste 107
Hendersonvlle, TN 37075
Phone (615) 824-4244

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

Interoperability endpoints

  • Direct secure messaging: cwoolum713623@direct.vumc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDCBA

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1548517477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "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": "372321234",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Tennessee Waltz Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ashland City",
            "state": "TN",
            "postal_code": "370151234",
            "country_code": "US",
            "telephone_number": "615-792-6220",
            "fax_number": "615-792-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLUM",
        "first_name": "CELESTE",
        "middle_name": "GOOD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01653",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "7100219630",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072238",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwoolum713623@direct.vumc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372321234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "GOOD",
            "middle_name": "DAWN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.