Individual provider Active NPI

William M Rodney, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1750373957
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19814 Issued in TN
Practice address
3030 Covington Pike
Ste 100
Memphis, TN 38128-5048
Phone
(901) 383-8889
Fax
(901) 383-6309
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19814 TN Primary
Family Medicine Physician 207Q00000X E1477 AR

Addresses

Primary practice location

3030 Covington Pike
Ste 100
Memphis, TN 38128-5048

Mailing address

3030 Covington Pike
Ste 100
Memphis, TN 38128-5048
Phone (901) 383-8889

Other identifiers 1

IdentifierTypeStateIssuer
3847112MedicaidTN

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
I20050214000794 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4183529464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
JS Weill Medical College, Cornell University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Camellia FoundationGroup PAC ID 0547439606, 11 clinicians
Medicos General PLLCGroup PAC ID 1052362167, 9 clinicians

Practice addresses (Care Compare)

3030 Covington Pike
Suite 100
Memphis, TN 38128-5049
Phone (901) 432-5727

3040 Covington Pike
Suite 100
Memphis, TN 38128-5016
Phone (901) 729-7801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1477ARMDFamily Medicine Physician
MD19814TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicos General PLLC Family Medicine CurrentSince Jul 29, 2004 Accepting new patients
The Camellia Foundation Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Baptist Memorial Hospital-Tipton Past Accepting new patients

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

3040 Covington Pike
Memphis, TN 38128
Phone (901) 390-7921

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3068 Covington Pike
Memphis, TN 38128
Phone (901) 377-6525

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3030 Covington Pike
#200
Memphis, TN 38128
Phone (901) 432-5727

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

Organizations & group practices 3

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1750373957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE",
            "address_2": "STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285048",
            "telephone_number": "901-383-8889",
            "fax_number": "901-383-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE",
            "address_2": "STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285048",
            "telephone_number": "901-383-8889",
            "fax_number": "901-383-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODNEY",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD19814",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3847112",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.