Individual provider Active NPI

Edward Nicholas Misulis, MBBS

  • Neurology Physician
  • Nashville, TN
National Provider Identifier
1902396559
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD213872 Issued in OR
Practice address
1161 21St Ave S
Nashville, TN 37232-0011
Phone
(615) 322-0417
NPI assigned
May 18, 2018
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME158259 FL
Neurology Physician 2084N0400X MD25620 ME
Neurology Physician 2084N0400X MD213872 OR Primary

Addresses

Primary practice location

1161 21St Ave S
Nashville, TN 37232-0011

Mailing address

1161 21St Ave S
Nashville, TN 37232-0011
Phone (615) 322-0417

Other practice location 1

11215 Metro Pkwy Bldg 3
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MI, AZ, OH, NH, IA, KY, GA, OR, WA, FL, ND12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20220722000342 ME Practitioner - Neurology 8123409125 Reassigns benefits to 3 organizations
I20220922000942 MI Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20221024002063 AZ Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20221128001196 OH Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20221129001389 NH Practitioner - Neurology 8123409125 Reassigns benefits to 3 organizations
I20230224001913 IA Practitioner - Neurology 8123409125
I20230302001847 KY Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20230428000180 GA Practitioner - Neurology 8123409125 Reassigns benefits to 4 organizations
I20230619001243 OR Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20230619001362 WA Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20231017000277 FL Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization
I20250808002585 ND Practitioner - Neurology 8123409125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

48 Date St
Old Orchard Beach, ME 04064-1173
Phone (239) 208-2212

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jul 11, 2023 Accepting new patients
Altru Health System Family Medicine Current Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 16, 2023 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 6, 2022 Accepting new patients
Altru Health System CurrentSince Jun 26, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Nov 1, 2022 Accepting new patients
Altru Health System CurrentSince Jun 26, 2025 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Mar 17, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 9, 2023 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 1, 2022 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince May 18, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince Apr 19, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 1, 2022 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Apr 19, 2023 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Jul 10, 2024 Accepting new patients
Upson County Hospital Inc Neurology CurrentSince Apr 1, 2023 Accepting new patients
Upson County Hospital Inc Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 9, 2023 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Nchmd Inc Current Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Jun 9, 2023 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jul 11, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 16, 2023 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 31)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: emisulis4030886@direct.trinity-health.org
  • Direct secure messaging: emisulis864291@direct.ketteringhealth.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1902396559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320011",
            "telephone_number": "615-322-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320011",
            "telephone_number": "615-322-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11215 Metro Pkwy Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISULIS",
        "first_name": "EDWARD",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME158259",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD25620",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD213872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.