Individual provider Active NPI

William Shaw, NP

  • Family Nurse Practitioner
  • Savannah, TN
National Provider Identifier
1881284594
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28932 Issued in TN
Practice address
175 Enoch Blvd
Savannah, TN 38372-2240
Phone
(731) 925-2300
NPI assigned
Jan 26, 2021
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202003021 TN Practitioner - Nurse Practitioner 9537573597 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

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

OrganizationSpecialtyStatusNew patients
Hardin County Regional Health Center CurrentSince Jan 28, 2021 Accepting new patients
Hardin County Regional Health Center CurrentSince Jan 28, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.