Individual provider Active NPI

Raymond B Demoville, MD

  • Otolaryngology Physician
  • Gallatin, TN
National Provider Identifier
1699770016
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD0000034182 Issued in TN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103I045255OtherTNMEDICARE
6123764OtherTNBCBS
Q030576MedicaidTN

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
I20090713000249 TN Practitioner - Otolaryngology 8022167550 Reassigns benefits to 1 organization
Practice locations: Gallatin, TN; Hendersonville, TN

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
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

590 Hartsville Pike
Gallatin, TN 37066-2466
Phone (615) 452-0048

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000034182TNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Sep 14, 2017 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Sep 14, 2017 Accepting new patients
Serenity Sleep Lab LLC PastSince Apr 10, 2009 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.