Active NPI
William D Vines, MD
- Family Medicine Physician
- Alcoa, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27237
- Practice address
- 266 Joule St
Alcoa, TN 37701-2422 - Phone
- (865) 984-3864
- Fax
- (865) 380-4095
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27237 | TN | Primary |
Addresses
Primary practice location
266 Joule St
Alcoa, TN 37701-2422
Mailing address
103 W Broadway Ave
Maryville, TN 37801-4703
Phone (865) 273-1752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3098658 | 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
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
266 Joule St
Alcoa, TN 37701-2422
Phone (865) 984-3864
405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430
425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260
463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100
Hospital & facility affiliations
- Blount Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27237 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Family Medicine | Current | Accepting new patients |
| East Tennessee Medical Group, PC | Family Medicine | Past | Accepting new patients |
Locations
266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
1503 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 980-5290
710 Morganton Square Dr
Maryville, TN 37801
Phone (865) 380-4021
458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355
103 W Broadway Ave
Maryville, TN 37801
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- wvines864440@direct.ghs.myhfn.org
- david.vines.p1@direct.bmpg.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1720157654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014703",
"telephone_number": "865-273-1752",
"fax_number": "865-273-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 JOULE ST",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012422",
"telephone_number": "865-984-3864",
"fax_number": "865-380-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINES",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "27237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3098658",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.