Individual provider Active NPI

John C Witt, M.D.

  • Neurology Physician
  • Nashville, TN
National Provider Identifier
1972591923
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
31290 Issued in TN
Practice address
3443 Dickerson Pike Ste 580
Nashville, TN 37207-2526
Phone
(615) 860-1040
Fax
(615) 860-1242
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 31290 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 580
Nashville, TN 37207-2526

Mailing address

3443 Dickerson Pike Ste 580
Nashville, TN 37207-2526
Phone (615) 860-1040

Other identifiers 1

IdentifierTypeStateIssuer
3836751MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090110000117 TN Practitioner - NeurologyPractitioner - Nephrology 0244393692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Chicago, Pritzker School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Neuroscience Associates LLCGroup PAC ID 6800845702, 15 clinicians

Practice addresses (Care Compare)

3443 Dickerson Pike
Suite 580
Nashville, TN 37207-2526
Phone (615) 860-1040

Hospital & facility affiliations

  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Merit-based Incentive Payment System (MIPS)

Final score
93.72 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
69.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Neuroscience Associates, LLC Neurology CurrentSince Jan 1, 2016 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1004 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 867-8010

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

3443 Dickerson Pike
Ste 580
Nashville, TN 37207
Phone (615) 860-1040

Interoperability endpoints

  • Direct secure messaging: john.witt@hca1.eclinicaldirectplus.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 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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1972591923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072526",
            "telephone_number": "615-860-1040",
            "fax_number": "615-860-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072526",
            "telephone_number": "615-860-1040",
            "fax_number": "615-860-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "31290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3836751",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.