Active NPI
William Shaw, NP
- Family Nurse Practitioner
- Savannah, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28932
- Practice address
- 175 Enoch Blvd
Savannah, TN 38372-2240 - Phone
- (731) 925-2300
- NPI assigned
- Jan 26, 2021
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28932 | TN | Primary |
Addresses
Primary practice location
175 Enoch Blvd
Savannah, TN 38372-2240
Mailing address
PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300
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
Enrollment records 1
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
Practice addresses (Care Compare)
765 Florence Rd
Suite a
Savannah, TN 38372-5219
Phone (731) 925-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardin County Regional Health Center | Current | Accepting new patients | |
| Hardin County Regional Health Center | Current | Accepting new patients |
Locations
726 E Main St
Adamsville, TN 38310
Phone (731) 632-1730
207 Main St
Clifton, TN 38425
Phone (931) 676-3121
150 E End Dr
Savannah, TN 38372
175 Enoch Blvd
Savannah, TN 38372
Phone (319) 252-3007
765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300
765 Florence Rd
Ste A
Savannah, TN 38372
Interoperability endpoints
- william.shaw.p1@direct.lifespanhealth.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lifespan Health
- Federally Qualified Health Center (FQHC)
- Savannah, TN
- NPI 1184676157
-
dba Lifespan Health
- Federally Qualified Health Center (FQHC)
- Savannah, TN
- NPI 1013509223
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hardin Medical Center
- General Acute Care Hospital
- Savannah, TN
- NPI 1699754812
-
- Home Health Agency
- Savannah, TN
- NPI 1255669636
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1881284594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383720655",
"telephone_number": "731-925-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 ENOCH BLVD",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383722240",
"telephone_number": "731-925-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "WILLIAM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "28932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.