Individual provider Active NPI

Scott H Lieberman, MD

  • Internal Medicine Physician
  • Franklin, TN
National Provider Identifier
1871644781
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000024630 Issued in TN
Practice address
4323 Carothers Pkwy
Sutie 409
Franklin, TN 37067-5914
Phone
(615) 435-7780
Fax
(615) 435-7789
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000024630 TN Primary

Addresses

Primary practice location

4323 Carothers Pkwy
Sutie 409
Franklin, TN 37067-5914

Mailing address

4323 Carothers Pkwy
Sutie 409
Franklin, TN 37067-5914
Phone (615) 435-7780

Other identifiers 1

IdentifierTypeStateIssuer
3077741MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000086 TN Practitioner - Internal Medicine 6204914997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000024630TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Medical Group, LLC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients

Locations

4323 Carothers Pkwy
Ste 409
Franklin, TN 37067
Phone (615) 435-7780

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1871644781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PKWY",
            "address_2": "SUTIE 409",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675914",
            "telephone_number": "615-435-7780",
            "fax_number": "615-435-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PKWY",
            "address_2": "SUTIE 409",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675914",
            "telephone_number": "615-435-7780",
            "fax_number": "615-435-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000024630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077741",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.