William Andrew Eason, M.D.
Individual provider Active NPI Family Medicine Physician · Selmer, TN
NPI 1821025867 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1821025867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20944 (TN)
- Practice address
- 270 E Court Ave
Selmer, TN 38375-2304 - Phone
- (731) 645-7932
- Fax
- (731) 645-5195
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Tennessee Medical Group Inc
Practice addresses (Care Compare)
270 E Court Ave
Suite B
Selmer, TN 38375-0000
Phone (731) 645-7932
Hospital & facility affiliations
- Volunteer Homecare of West TN
- Deaconess Homecare
- Tennessee Quality Care - Home Health
- Amedisys Home Health Care
- HMC Home Health, LLC
- Jackson-Madison County General Hospital
- Hardin Medical Center
- Magnolia Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 18 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 118 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000507 | TN | Practitioner - Family Practice | 3072619782 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Todd'S Discount Drugs Inc. | Past |
Accepting new patients |
Locations
710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
426 White Ave
Henderson, TN 38340
Phone (731) 989-2174
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931
Interoperability endpoints
- weason18681@directepic.wth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20944 | TN | Yes |
Addresses
Primary practice location
270 E Court Ave
Selmer, TN 38375-2304
Mailing address
270 E Court Ave
Selmer, TN 38375-2304
Phone (731) 645-7932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115569 | Medicaid | TN | |
| 3124134 | Other | TN | BLUE CROSS BLUE SHIELD A |
| 12096 | Medicaid | TN | |
| 3124135 | Other | TN | BLUE CROSS BLUE SHIELD H |
| 3123018 | Other | TN | BLUE CROSS BLUE SHIELD S |
| 3717101 | Medicaid | TN |
NPI Registry JSON
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1821025867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E COURT AVE",
"city": "SELMER",
"state": "TN",
"postal_code": "383752304",
"telephone_number": "731-645-7932",
"fax_number": "731-645-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E COURT AVE",
"city": "SELMER",
"state": "TN",
"postal_code": "383752304",
"telephone_number": "731-645-7932",
"fax_number": "731-645-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "WILLIAM",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "20944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115569",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD A",
"identifier": "3124134",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12096",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD H",
"identifier": "3124135",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD S",
"identifier": "3123018",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3717101",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Selmer, TN
- Dr. Greg L. Wilson Family Dentistry
- Dr. Joseph J. Driscoll, O.D.
- Dr. Joseph J. Driscoll, O.D.
- Joseph J. Driscoll
- Megan Dunaway
- Preston Parker Embrey
- Evergreen Center for Counseling, Inc
- Evolve Counseling, PLLC
- Family Clinic of Selmer, PC
- Fast Pace Medical Clinic PLLC
All providers in Selmer, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.