Individual provider Active NPI

Joseph Henry Wandass III, M.D.

  • Internal Medicine Physician
  • Gallatin, TN
National Provider Identifier
1760446884
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51485 Issued in TN
Practice address
300 Steam Plant Rd.
Suite 300
Gallatin, TN 37066
Phone
(615) 328-3750
Fax
(615) 328-3758
NPI assigned
Apr 14, 2006
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51485 TN Primary

Addresses

Primary practice location

300 Steam Plant Rd.
Suite 300
Gallatin, TN 37066

Mailing address

300 Steam Plant Rd.
Suite 300
Gallatin, TN 37066
Phone (615) 328-3750

Other practice location 1

401B Walton Ln
Nashville, TN 37216-1018
Phone (629) 888-5180

Other identifiers 2

IdentifierTypeStateIssuer
00354150MedicaidNY
Q029454MedicaidTN

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
I20170912000955 TN Practitioner - Internal Medicine 4082653969 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Sep 11, 2019 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Sumner Physician Practices LLC CurrentSince Sep 11, 2019 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
General Physician, PC Past Accepting new patients
Quaker Medical Associates, PC Internal Medicine PastSince Jan 1, 1996 Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients

Locations

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 Steam Plant Rd
Ste 210
Gallatin, TN 37066
Phone (615) 328-3700

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

6005 Nolensville Rd
Ste 205
Nashville, TN 37211
Phone (615) 833-7080

Organizations & group practices 7

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1760446884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD.",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-328-3750",
            "fax_number": "615-328-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD.",
            "address_2": "SUITE 300",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-328-3750",
            "fax_number": "615-328-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401B Walton Ln",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372161018",
            "country_code": "US",
            "telephone_number": "629-888-5180",
            "fax_number": "629-888-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANDASS",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "51485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354150",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029454",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.