Active NPI
William Terrell Jr., M.D.
- Pediatrics Physician
- Memphis, TN
National Provider Identifier
1790789527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8386
- Practice address
- 1444 E Shelby Dr
Ste 317
Memphis, TN 38116-7257 - Phone
- (901) 396-8281
- Fax
- (901) 396-7535
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8386 | TN | Primary |
Addresses
Primary practice location
1444 E Shelby Dr
Ste 317
Memphis, TN 38116-7257
Mailing address
1444 E Shelby Dr
Ste 317
Memphis, TN 38116-7257
Phone (901) 396-8281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3162785 | Medicaid | TN | |
| 3054411 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8386 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis & Shelby County Ped. Group | Pediatrics | Past | Accepting new patients |
| Memphis & Shelby County Pediatric Group | Past | Accepting new patients | |
| Baptist Memorial Hospital | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Interoperability endpoints
- wterrell35018@mlh.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Pediatrics Physician
- Memphis, TN
- NPI 1710067020
-
- Pediatric Adolescent Medicine Physician
- Memphis, TN
- NPI 1487797536
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790789527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 E SHELBY DR",
"address_2": "STE 317",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167257",
"telephone_number": "901-396-8281",
"fax_number": "901-396-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 E SHELBY DR",
"address_2": "STE 317",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167257",
"telephone_number": "901-396-8281",
"fax_number": "901-396-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "8386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3162785",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3054411",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.