Individual provider Active NPI

Bill Wayne Swilley, D.O.

  • Family Medicine Physician
  • Goodlettsville, TN
National Provider Identifier
1962450247
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO435 Issued in TN
Practice address
420 N Main St
Goodlettsville, TN 37072-1520
Phone
(615) 859-2842
Fax
(615) 859-4990
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO435 TN Primary

Addresses

Primary practice location

420 N Main St
Goodlettsville, TN 37072-1520

Mailing address

420 N Main St
Goodlettsville, TN 37072-1520
Phone (615) 859-2842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO435TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Middle TN, LLC Past Accepting new patients

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1962450247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721520",
            "telephone_number": "615-859-2842",
            "fax_number": "615-859-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721520",
            "telephone_number": "615-859-2842",
            "fax_number": "615-859-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWILLEY",
        "first_name": "BILL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.