Individual provider Active NPI

David Wallace Neblett, M.D.

  • Pediatric Sports Medicine Physician
  • Nashville, TN
National Provider Identifier
1720466741
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
58132 Issued in TN
Practice address
6746 Charlotte Pike
Nashville, TN 37209-4204
Phone
(629) 203-7585
Fax
(629) 203-7857
NPI assigned
May 11, 2015
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 58132 TN Primary

Addresses

Primary practice location

6746 Charlotte Pike
Nashville, TN 37209-4204

Mailing address

6746 Charlotte Pike
Nashville, TN 37209-4204
Phone (629) 203-7585

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-9760
Phone (615) 936-2000

Other practice location 2

394 Harding Pl Ste 200
Nashville, TN 37211-3980
Phone (615) 834-4482

Other practice location 3

111 Highway 70 E Ste 103
Dickson, TN 37055-2080
Phone (615) 740-0260

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
I20190814000921 TN Practitioner - Sports Medicine 3375870355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6746 Charlotte Pike
Nashville, TN 37209-4204
Phone (629) 203-7858

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58132TNMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC Pediatrics CurrentSince Sep 19, 2023 Accepting new patients
Vanderbilt University Medical Center Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 19, 2023 Accepting new patients
Premier Orthopaedics & Sports Medicine PLC CurrentSince Aug 1, 2020 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

111 Highway 70 E
Ste 103
Dickson, TN 37055
Phone (615) 326-2295

166 E Main St
Hendersonvlle, TN 37075
Phone (615) 822-3000

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

345 23rd Ave N
Ste 201
Nashville, TN 37203
Phone (615) 301-9720

6746 Charlotte Pike
Nashville, TN 37209
Phone (615) 647-9005

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

2400 Patterson St
Ste 300
Nashville, TN 37203
Phone (615) 342-2600

Interoperability endpoints

  • Direct secure messaging: david.neblett.1@25094.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1720466741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 CHARLOTTE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094204",
            "telephone_number": "629-203-7585",
            "fax_number": "629-203-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6746 CHARLOTTE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094204",
            "telephone_number": "629-203-7585",
            "fax_number": "629-203-7857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372329760",
            "country_code": "US",
            "telephone_number": "615-936-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "394 Harding Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372113980",
            "country_code": "US",
            "telephone_number": "615-834-4482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Highway 70 E Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552080",
            "country_code": "US",
            "telephone_number": "615-740-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEBLETT",
        "first_name": "DAVID",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TN",
            "license": "58132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.