Individual provider Active NPI

Mary Taylor Spencer Edwards, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1871189787
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28565 Issued in TN
Practice address
2400 Patterson St Ste 400
Nashville, TN 37203-1575
Phone
(615) 342-6905
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28565 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 400
Nashville, TN 37203-1575

Mailing address

2400 Patterson St Ste 400
Nashville, TN 37203-1575
Phone (615) 342-6905

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
I20210802001043 TN Practitioner - Nurse Practitioner 3870997695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Surgical Clinic, LLCGroup PAC ID 6800079963, 17 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 400
Nashville, TN 37203-1575
Phone (615) 342-6905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Surgical Clinic, LLC CurrentSince Nov 7, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

2400 Patterson St
#212
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: mary.spenceredwards@hca1.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1871189787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031575",
            "telephone_number": "615-342-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031575",
            "telephone_number": "615-342-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER EDWARDS",
        "first_name": "MARY",
        "middle_name": "TAYLOR",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.