Active NPI
William Morris Steely, M.D.
- Surgery Physician
- Clarksville, TN
National Provider Identifier
1750347464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD0018913
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6087074 | Other | TN | BCBS TN |
| 100764 | Other | TN | BCBS PROVIDER NUMBER |
| Q016945 | Medicaid | TN |
Other names 1
- Mr. William Morris Steely
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0018913 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging PC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Current | 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.
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.