Individual provider Active NPI

Willard Scott Meadows, CRNA

  • Certified Registered Nurse Anesthetist
  • Dickson, TN
National Provider Identifier
1578558185
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN10816 Issued in TN
Practice address
704 Hwy 70 E
Dickson, TN 37055-2111
Phone
(615) 620-2320
Fax
(615) 620-2323
NPI assigned
Sep 20, 2005
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP5193A KY
Certified Registered Nurse Anesthetist 367500000X APN10816 TN Primary
Registered Nurse 163W00000X RN106855 TN

Addresses

Primary practice location

704 Hwy 70 E
Dickson, TN 37055-2111

Mailing address

PO Box 299
Manchester, TN 37349-0299
Phone (931) 728-5607

Other identifiers 9

IdentifierTypeStateIssuer
3631210MedicaidTN
1506321MedicaidTN
74002510MedicaidKY
4206153OtherTNBLUE CROSS/BLUE SHIELD SAS
009944350MedicaidAL
01259592OtherTNAMERIGROUP TENNCARE NON-PAR - INTEGRATED
P00689532OtherTNRR MEDICARE
3161402OtherTNBC/BS NUMBER
4206153OtherTNBLUE CROSS/BLUE SHIELD OF TN - INTEGRATED

Other names 1

  • Scott Meadows Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060419000229 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274542204 Reassigns benefits to 1 organization
I20250813001800 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274542204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN106855TNMDRegistered Nurse
ARNP5193AKYMDCertified Registered Nurse Anesthetist
APN10816TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 4, 2025 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2009 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Past Accepting new patients
National Physical Therapy of Tennessee Inc Past Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC PastSince Sep 1, 2005 Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

2801 Charlotte Ave
Nashville, TN 37209
Phone (615) 250-9249

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1578558185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373490299",
            "telephone_number": "931-728-5607",
            "fax_number": "931-728-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HWY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552111",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "WILLARD",
        "middle_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "ARNP5193A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN10816",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN106855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3631210",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506321",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74002510",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD    SAS",
            "identifier": "4206153",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944350",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP TENNCARE   NON-PAR - INTEGRATED",
            "identifier": "01259592",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00689532",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "3161402",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF TN - INTEGRATED",
            "identifier": "4206153",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "MEADOWS",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.