Individual provider Active NPI

William A Turner III, FNPC

  • Family Nurse Practitioner
  • Smithville, TN
National Provider Identifier
1871960682
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20328 Issued in TN
Practice address
516 W Main St Ste C
Smithville, TN 37166-1142
Phone
(615) 597-4049
Fax
(615) 597-7300
NPI assigned
Aug 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 20328 TN Primary

Addresses

Primary practice location

516 W Main St Ste C
Smithville, TN 37166-1142

Mailing address

516 W Main St Ste C
Smithville, TN 37166-1142
Phone (615) 597-4049

Other identifiers 1

IdentifierTypeStateIssuer
Q018439MedicaidTN

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
I20151014001442 TN Practitioner - Nurse Practitioner 2769607530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center Hill Medical, PLLCGroup PAC ID 4486967866, 2 clinicians

Practice addresses (Care Compare)

516 W Main St
Suite C
Smithville, TN 37166-1142
Phone (615) 597-4049

Hospital & facility affiliations

  • Dekalb Community Hospital Hospital, Smithville, TN, CCN 440148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20328TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center Hill Medical, PLLC CurrentSince May 1, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC Past Accepting new patients

Locations

516 W Main St
Ste C
Smithville, TN 37166
Phone (615) 597-4049

Organizations & group practices 2

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1871960682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W MAIN ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661142",
            "telephone_number": "615-597-4049",
            "fax_number": "615-597-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W MAIN ST STE C",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661142",
            "telephone_number": "615-597-4049",
            "fax_number": "615-597-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018439",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TN

Sources for this page

Verify at the official NPI Registry.