Individual provider Active NPI

William Edwards

  • Acute Care Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1841056330
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
35767 Issued in TN
Practice address
5050 Poplar Ave Ste 700
Memphis, TN 38157-0700
Phone
(901) 276-2662
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 35767 TN Primary

Addresses

Primary practice location

5050 Poplar Ave Ste 700
Memphis, TN 38157-0700

Mailing address

5678 Heather Oak Dr
Arlington, TN 38002-8558

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319003709 TN Practitioner - Nurse Practitioner 9638516107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Pulmonary Specialists PCGroup PAC ID 5092700518, 47 clinicians

Practice addresses (Care Compare)

5050 Poplar Ave
Suite 800
Memphis, TN 38157-0800
Phone (901) 276-2662

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35767TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Pulmonary Specialists PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

5050 Poplar Ave
Ste 700
Memphis, TN 38157
Phone (901) 276-2662

5050 Poplar Ave
Ste 800
Memphis, TN 38157
Phone (901) 276-2662

Interoperability endpoints

  • Direct secure messaging: wedwards66593@mlh.direct-ci.com
  • Direct secure messaging: william.edwards.p1@direct.mspulmonary.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1841056330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5678 HEATHER OAK DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570700",
            "telephone_number": "901-276-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "35767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.