Active NPI
Shere Howald Conway, M.D.
- Family Medicine Physician
- Oak Ridge, TN
National Provider Identifier
1619959798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35002
- Practice address
- 100 Vermont Ave
Oak Ridge, TN 37830-6471 - Phone
- (865) 482-1777
- Fax
- (865) 482-1030
- NPI assigned
- Nov 15, 2005
- Last updated
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.49791 | AL | |
| Family Medicine Physician | 207Q00000X | 35002 | TN | Primary |
| Family Medicine Physician | 207Q00000X | MD61590783 | WA | |
| Family Medicine Physician | 207Q00000X | 94879 | SC | |
| Family Medicine Physician | 207Q00000X | 127367 | MT | |
| Family Medicine Physician | 207Q00000X | 2025-01900 | NC | |
| Family Medicine Physician | 207Q00000X | G-198937 | CA |
Addresses
Primary practice location
100 Vermont Ave
Oak Ridge, TN 37830-6471
Mailing address
100 Vermont Ave
Oak Ridge, TN 37830-6471
Phone (865) 482-1777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00057056 | Other | TN | RAILROAD MEDICARE |
| 3879444 | Medicaid | TN | |
| M011026916 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | conway.shere@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.49791 | AL | MD | Family Medicine Physician |
| G-198937 | CA | MD | Family Medicine Physician |
| 127367 | MT | MD | Family Medicine Physician |
| 2025-01900 | NC | MD | Family Medicine Physician |
| 94879 | SC | MD | Family Medicine Physician |
| MD61590783 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Mission PLLC | Family Medicine | Current | Accepting new patients |
| Bruce D Fisher DPM PC | Past | Accepting new patients | |
| First Care Medical Center PC | Past | Accepting new patients | |
| Glasgow Clinic, Inc. | Past | Accepting new patients |
Locations
150 E Division Rd
Ste 1
Oak Ridge, TN 37830
Phone (865) 205-2942
Interoperability endpoints
- shere.conway.1@30520.direct.athenahealth.com
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1619959798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306471",
"telephone_number": "865-482-1777",
"fax_number": "865-482-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306471",
"telephone_number": "865-482-1777",
"fax_number": "865-482-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "SHERE",
"middle_name": "HOWALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.49791",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "35002",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61590783",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "94879",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "127367",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2025-01900",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G-198937",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "00057056",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3879444",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M011026916",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "conway.shere@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "100 Vermont Ave",
"city": "Oak Ridge",
"state": "TN",
"country_code": "US",
"postal_code": "378306471",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.