NPIMap

Individual provider Active NPI

William Vance Shappley III, M.D.

  • Urology Physician
  • Germantown, TN
National Provider Identifier
1588733992
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
44581 Issued in TN
Practice address
7705 Poplar Avenue
Suite 310B the Shappley Clinic
Germantown, TN 38138
Phone
(901) 759-0101
Fax
(901) 759-1588
NPI assigned
Nov 7, 2006
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 221707 MA
Urology Physician 208800000X 44581 TN Primary

Addresses

Primary practice location

7705 Poplar Avenue
Suite 310B the Shappley Clinic
Germantown, TN 38138

Mailing address

7705 Poplar Avenue
Suite 310B the Shappley Clinic
Germantown, TN 38138
Phone (901) 759-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000782 TN Practitioner - Urology 7214089911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Columbia University College of Physicians and Surgeons, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Group PCGroup PAC ID 9739153354, 17 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1778
Phone (901) 767-8158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as group
Quality
92.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221707MAMDUrology Physician
44581TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group PC Urology CurrentSince Jun 1, 2014 Accepting new patients
Urology Group, PC CurrentSince Jun 1, 2014 Accepting new patients
Urology Group PC Urology Current Accepting new patients
William Vance Shappley, Dba the Shappley Clin Past Accepting new patients
Tratsc LLC Past Accepting new patients

Locations

2996 Kate Bond Rd
Ste 307
Bartlett, TN 38133
Phone (901) 373-8333

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

7705 Poplar Ave
Ste 310
Germantown, TN 38138
Phone (901) 516-6300

6029 Walnut Grove Rd
Ste 300
Memphis, TN 38120

Interoperability endpoints

  • Direct secure messaging: wshappley35008@mlh.direct-ci.com

Organizations & group practices 5

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 7

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1588733992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 POPLAR AVENUE",
            "address_2": "SUITE 310B THE SHAPPLEY CLINIC",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-759-0101",
            "fax_number": "901-759-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 POPLAR AVENUE",
            "address_2": "SUITE 310B THE SHAPPLEY CLINIC",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-759-0101",
            "fax_number": "901-759-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPPLEY",
        "first_name": "WILLIAM",
        "middle_name": "VANCE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "221707",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "44581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.