NPIMap

Organization Active NPI

Willie Anderson MD LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Franklin, TN
National Provider Identifier
1700037074
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
39211 Issued in TN
Legal business name
WILLIE ANDERSON MD LLC
Practice address
125 Cool Springs Blvd
Suite 210
Franklin, TN 37067-6474
Phone
(615) 472-7180
Fax
(615) 472-7189
NPI assigned
Oct 6, 2008
Last updated
Jul 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Dr. Willie Thomas Anderson III, M,D.NPI 1851448476
Title
President
Phone
(615) 472-7190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 39211 TN Primary

Addresses

Primary practice location

125 Cool Springs Blvd
Suite 210
Franklin, TN 37067-6474

Mailing address

125 Cool Springs Blvd
Suite 210
Franklin, TN 37067-6474
Phone (615) 472-7190

Other identifiers 2

IdentifierTypeStateIssuer
3327546MedicaidTN
3728642MedicaidTN

National Provider Directory

National Provider Directory

Locations

2400 Patterson St
Ste 216
Nashville, TN 37203
Phone (615) 320-1583

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1700037074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD",
            "address_2": "SUITE 210",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676474",
            "telephone_number": "615-472-7190",
            "fax_number": "615-472-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD",
            "address_2": "SUITE 210",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676474",
            "telephone_number": "615-472-7180",
            "fax_number": "615-472-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE ANDERSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-472-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TN",
            "license": "39211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327546",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728642",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.