Individual provider Active NPI

Earl Dwayne Lett, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Mount Juliet, TN
National Provider Identifier
1790757755
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD25738 Issued in TN
Practice address
660 S Mount Juliet Rd Ste 210
Mount Juliet, TN 37122-3973
Phone
(615) 443-0901
Fax
(615) 442-0310
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD25738 TN
Plastic and Reconstructive Surgery Physician 2086S0122X MD25738 TN Primary

Addresses

Primary practice location

660 S Mount Juliet Rd Ste 210
Mount Juliet, TN 37122-3973

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Other practice location 1

920 S Hartmann Dr Ste 340
Lebanon, TN 37090-4101
Phone (615) 784-4039

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
I20080903000059 TN Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 2567538309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

660 S Mount Juliet Rd
Suite 210
Mt Juliet, TN 37122-3973
Phone (615) 443-0901

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy17
Melanoma (skin cancer) excision61
Removal of tissue14
Removal of skin lesions1-10
Removal or shaving of skin growth14
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25738TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic PLLC CurrentSince Apr 1, 2014 Accepting new patients
Ut Physicians Inc Past Accepting new patients
Tennessee Oncology,PLLC Past Accepting new patients
Sweet Dreams Anesthesia Inc Past Accepting new patients
Tennessee Oncology, PLLC Past Accepting new patients

Locations

920 S Hartmann Dr
Ste 340
Lebanon, TN 37090
Phone (615) 397-1486

660 S Mount Juliet Rd
Ste 210
Mt Juliet, TN 37122
Phone (615) 443-0901

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

53 Century Blvd
Ste 120
Nashville, TN 37214

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA
  • Direct secure messaging: earldwayne.lett@tsclinic.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1790757755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 210",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223973",
            "telephone_number": "615-443-0901",
            "fax_number": "615-442-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hartmann Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904101",
            "country_code": "US",
            "telephone_number": "615-784-4039",
            "fax_number": "615-443-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETT",
        "first_name": "EARL",
        "middle_name": "DWAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD25738",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "MD25738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.