Active NPI
Raymond B Demoville, MD
- Otolaryngology Physician
- Gallatin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD0000034182
- Practice address
- 1525 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6070 - Phone
- (615) 822-2177
- Fax
- (615) 822-0300
- NPI assigned
- Jun 14, 2005
- Last updated
- Apr 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD0000034182 | TN | Primary |
Addresses
Primary practice location
1525 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6070
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 1
590 Hartsville Pike
Gallatin, TN 37066-2466
Phone (615) 822-2177
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I045255 | Other | TN | MEDICARE |
| 6123764 | Other | TN | BCBS |
| Q030576 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
590 Hartsville Pike
Gallatin, TN 37066-2466
Phone (615) 452-0048
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000034182 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients | |
| Serenity Sleep Lab LLC | Past | Accepting new patients | |
| Sweet Dreams Anesthesia Inc | Past | Accepting new patients |
Locations
1525 Hunt Club Blvd
Ste 100
Gallatin, TN 37066
Phone (615) 822-2177
590 Hartsville Pike
Gallatin, TN 37066
Phone (615) 451-9810
590 Hartsville Pike
Ste 1
Gallatin, TN 37066
Phone (615) 206-8131
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
107 Glen Oak Blvd
Ste 101
Hendersonvlle, TN 37075
Phone (615) 452-8705
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Interoperability endpoints
- raymond.demoville@ahp.eclinicaldirectplus.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.
-
dba AdvancedHealth
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
- Specialist
- Hendersonville, TN
- NPI 1164625828
-
dba Ankle and Foot Centers of Nashville
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- Clinical Medical Laboratory
- Gallatin, TN
- NPI 1427256882
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highpoint Health - Sumner with Ascension Saint Thomas
- General Acute Care Hospital
- Gallatin, TN
- NPI 1447571658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1699770016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-239-2018",
"fax_number": "615-851-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 HUNT CLUB BLVD STE 100",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370666070",
"telephone_number": "615-822-2177",
"fax_number": "615-822-0300"
}
],
"practiceLocations": [
{
"address_1": "590 Hartsville Pike",
"address_purpose": "LOCATION",
"city": "Gallatin",
"state": "TN",
"postal_code": "370662466",
"country_code": "US",
"telephone_number": "615-822-2177",
"fax_number": "615-822-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMOVILLE",
"first_name": "RAYMOND",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "MD0000034182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "103I045255",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6123764",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q030576",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.