Individual provider Active NPI

William Morris Steely, M.D.

  • Surgery Physician
  • Clarksville, TN
National Provider Identifier
1750347464
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD0018913 Issued in TN
Practice address
787 Weatherly Dr
Suite 400
Clarksville, TN 37043-8949
Phone
(931) 552-0380
Fax
(931) 551-3157
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD0018913 TN Primary

Addresses

Primary practice location

787 Weatherly Dr
Suite 400
Clarksville, TN 37043-8949

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other identifiers 3

IdentifierTypeStateIssuer
6087074OtherTNBCBS TN
100764OtherTNBCBS PROVIDER NUMBER
Q016945MedicaidTN

Other names 1

  • Mr. William Morris Steely Other name

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
I20090406000618 TN Practitioner - General Surgery 1456408525 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0018913TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Jan 1, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 1, 2017 Accepting new patients

Locations

787 Weatherly Dr
Ste 400
Clarksville, TN 37043
Phone (931) 291-9150

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1750347464",
    "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": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR",
            "address_2": "SUITE 400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438949",
            "telephone_number": "931-552-0380",
            "fax_number": "931-551-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELY",
        "first_name": "WILLIAM",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0018913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6087074",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "100764",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q016945",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "STEELY",
            "middle_name": "MORRIS",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.