Individual provider Active NPI

Edmond Tanner Conway, FNP C

  • Gastroenterology Physician
  • Nashville, TN
National Provider Identifier
1871586545
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
110453 Issued in TN
Practice address
330 Wallace Rd
Suite 103
Nashville, TN 37211-4893
Phone
(615) 832-5530
Fax
(615) 832-5713
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 110453 TN Primary

Addresses

Primary practice location

330 Wallace Rd
Suite 103
Nashville, TN 37211-4893

Mailing address

330 Wallace Rd
Suite 103
Nashville, TN 37211-4893
Phone (615) 832-5530

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
I20110225000022 TN Practitioner - Nurse Practitioner 0547441420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

100 Covey Dr
Suite 304
Franklin, TN 37067-5663
Phone (615) 791-2330

4323 Carothers Pkwy
Franklin, TN 37067-5920

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110453TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Nashville Gastroenterology and Hepatology CurrentSince Nov 15, 2017 Accepting new patients
Nashville Gastroenterology & Hepatology CurrentSince Nov 15, 2017 Accepting new patients
First Care Medical Center PC Past Accepting new patients

Locations

4323 Carothers Pkwy
Ste 600
Franklin, TN 37067
Phone (615) 236-5000

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

330 Wallace Rd
Ste 103
Nashville, TN 37211
Phone (615) 832-5530

330 Wallace Rd
Nashville, TN 37211
Phone (866) 378-5362

2010 Church St
Ste 312
Nashville, TN 37203
Phone (615) 329-2141

Interoperability endpoints

  • Direct secure messaging: edmondconway@wmc.allscriptsdirect.net

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.

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1871586545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WALLACE RD",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114893",
            "telephone_number": "615-832-5530",
            "fax_number": "615-832-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WALLACE RD",
            "address_2": "SUITE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114893",
            "telephone_number": "615-832-5530",
            "fax_number": "615-832-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "EDMOND",
        "middle_name": "TANNER",
        "name_prefix": "Mr.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "110453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.