Individual provider Active NPI

William C Mayfield III, MD

  • Orthopaedic Surgery Physician
  • Smyrna, TN
National Provider Identifier
1568435808
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
38801 Issued in TN
Practice address
300 Stonecrest Blvd Ste 200
Smyrna, TN 37167-6800
Phone
(615) 355-0533
Fax
(615) 355-0957
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 38801 TN
Orthopaedic Surgery Physician 207X00000X 38801 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd Ste 200
Smyrna, TN 37167-6800

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other identifiers 2

IdentifierTypeStateIssuer
4086165OtherTNBCBS
3895788MedicaidTN

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
I20040823001486 TN Practitioner - Orthopedic Surgery 6608780093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

394 Harding PL
Nashville, TN 37211-3980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38801TNMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Aug 16, 2004 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC Orthopaedic Surgery Current Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery CurrentSince Aug 16, 2004 Accepting new patients

Locations

115 Willard Hagan Dr
Ste 100
Lebanon, TN 37090
Phone (615) 547-6700

100 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 547-6700

1321 Murfreesboro Pike
Ste 510
Nashville, TN 37217
Phone (615) 366-8890

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

300 Stonecrest Blvd
Ste 230
Smyrna, TN 37167
Phone (615) 355-0533

300 Stonecrest Blvd
Ste 200
Smyrna, TN 37167
Phone (615) 220-4747

Interoperability endpoints

  • Direct secure messaging: william.mayfield.1@321.direct.athenahealth.com

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 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1568435808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676800",
            "telephone_number": "615-355-0533",
            "fax_number": "615-355-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "38801",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "38801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4086165",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3895788",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.