William Russell Judson IV

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

6211 Issued in TN

Practice address

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391

Phone

(615) 391-4545

Fax

(615) 391-4546

NPI assigned

Mar 21, 2019

Last updated

Dec 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL, TN3 enrollments

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 3

Specialty

Orthopedic Surgery

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Bone and Joint, PLLCGroup PAC ID 4789677170, 12 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Nashville Bone and Joint PLLC

  • Orthopaedic Surgery Physician
  • Hermitage, TN
  • NPI 1104815430
  Medicare reassignment Care Compare group NPD
• Hughston Clinic Southeast PC

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1225401946

  AL

  Medicare reassignment NPD
• Hughston Clinic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
  • NPI 1770004863
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Vanderbilt University Medical Center

  dba Vanderbilt Wilson County Hospital

  • General Acute Care Hospital
  • Lebanon, TN
  • NPI 1306889597
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1578023081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762391",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762391",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "100142",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy H Johnson, PHD
• Margreete Gaye Johnston, M.D., MPH
• Jasmine R Jones
• Mary Kathryn Jones
• Norma A Jones, CEO
• Sean B Kaminsky, MD
• Sophia Kantemyr, MD
• Sunil C Kaza, M.D.
• Kdnashvilledc
• Kdpctn

• Orthopaedic Surgery Physician in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.