Individual provider Active NPI

Sheila Deneen Pertiller, MD

  • Internal Medicine Physician
  • McMinnville, TN
National Provider Identifier
1679517445
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037210 Issued in TN
Practice address
1559 Sparta St
MC Minnville, TN 37110-1316
Phone
(931) 815-4212
Fax
(931) 815-4718
NPI assigned
Jun 15, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037210 TN Primary
Hospitalist Physician 208M00000X 37210 TN

Addresses

Primary practice location

1559 Sparta St
MC Minnville, TN 37110-1316

Mailing address

1559 Sparta St
MC Minnville, TN 37110-1316
Phone (931) 815-4212

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
I20061121000395 TN Practitioner - Internal Medicine 1052319365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians
Williamson Hospitalist ProgramGroup PAC ID 0042553158, 42 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

391 Wallace Rd
Southern Hills Medical Center
Nashville, TN 37211-4851
Phone (615) 781-4000

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 495-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037210TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Williamson Hospitalist Program Hospitalist CurrentSince Oct 1, 2022 Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
MTMC Hospitalist Services Past Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients

Locations

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2300 Patterson St
#M
Nashville, TN 37203

300 20th Ave N
Fl 9
Nashville, TN 37203

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

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 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1679517445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4212",
            "fax_number": "931-815-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4212",
            "fax_number": "931-815-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTILLER",
        "first_name": "SHEILA",
        "middle_name": "DENEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "037210",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "37210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.