Active NPI 1699773531 Individual Practitioner Male Practitioner

Dr. William Craig Mitchell , MD

Internal Medicine • Roanoke, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Mitchell, MD is a certified Internal Medicine practicing in Roanoke, VA. With approximately 39 years of clinical experience since graduating from Wake Forest University School Of Medicine in 1987, Dr. Mitchell delivers high-quality medical care to the local community at 1315 2ND ST SW.

Dr. Mitchell maintains professional affiliations with Eventus Wh Mid-Atlantic Care Llc, Eventus Premier Healthcare Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1315 2nd St Sw
Suite 202

Roanoke, VA 240164944

Telephone 5403443020

Fax 5403444394

Associated Practice Facility / Clinic

🏢 Lynch, Dickey, And Singleton,dentists Inc. Facility NPI 1760466205

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +20.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

179 Specialists

Practicing in Roanoke, VA (3758 Statewide)

Telehealth Adoption Rate

8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (39 Years) 39 Yrs

Roanoke Specialty Average (18.9 Years) 18.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	626	268	$132.11	$107.68
99306 Initial nursing facility visit, typically 45 minutes per day	497	421	$200.60	$181.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	419	217	$127.21	$106.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	117	79	$102.05	$73.45
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	89	69	$111.57	$74.34
99306 Initial nursing facility visit, typically 45 minutes per day	53	46	$201.98	$179.75
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	30	24	$185.00	$153.74
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	14	$180.29	$152.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,080	18	$44.00	$22.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	423	225	$130.64	$105.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	304	$260.00	$125.47
99306 Initial nursing facility visit, typically 45 minutes per day	241	212	$200.25	$180.31
99213 Established patient office or other outpatient visit, typically 15 minutes	196	179	$176.00	$89.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$366.00	$129.18
G0444 Annual depression screening, 5 to 15 minutes	162	162	$60.00	$18.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	144	104	$102.92	$73.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	131	85	$136.95	$105.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	117	98	$349.00	$178.28
99306 Initial nursing facility visit, typically 45 minutes per day	65	64	$202.54	$180.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	42	$113.65	$73.86
G0009 Administration of pneumococcal vaccine	26	26	$82.00	$30.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	20	$82.00	$14.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$177.47	$52.12
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$863.00	$279.02
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	13	$70.38	$39.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$497.00	$162.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,920	22	$44.00	$21.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	818	459	$260.00	$128.76
99213 Established patient office or other outpatient visit, typically 15 minutes	588	389	$176.00	$91.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	425	425	$366.00	$131.98
G0444 Annual depression screening, 5 to 15 minutes	424	424	$60.00	$18.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	309	206	$349.00	$181.39
G0008 Administration of influenza virus vaccine	163	162	$82.00	$29.34
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	162	161	$183.00	$69.79
G0009 Administration of pneumococcal vaccine	94	94	$82.00	$29.53
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	52	52	$863.00	$278.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$172.00	$131.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$107.00	$57.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	23	$82.00	$14.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$497.00	$166.51
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$69.00	$14.09
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	23	17	$80.00	$33.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$182.00	$53.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,040	20	$44.00	$20.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	935	501	$260.00	$131.38
99213 Established patient office or other outpatient visit, typically 15 minutes	593	387	$176.00	$92.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	483	483	$366.00	$134.68
G0444 Annual depression screening, 5 to 15 minutes	480	480	$60.00	$19.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	335	227	$349.00	$183.44
G0008 Administration of influenza virus vaccine	165	165	$82.00	$17.01
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	160	160	$183.00	$66.43
85610 Blood test, clotting time	107	11	$17.00	$4.29
G0009 Administration of pneumococcal vaccine	53	53	$82.00	$16.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	44	44	$172.00	$122.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	20	$82.00	$14.12
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	28	14	$80.00	$33.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$497.00	$170.89
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$69.00	$15.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	19	$182.00	$53.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$107.00	$57.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$400.00	$170.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,800	19	$44.00	$19.00
99213 Established patient office or other outpatient visit, typically 15 minutes	903	504	$176.00	$76.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	710	450	$260.00	$110.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	495	495	$366.00	$117.45
G0444 Annual depression screening, 5 to 15 minutes	494	494	$60.00	$18.43
G0008 Administration of influenza virus vaccine	185	181	$82.00	$16.74
90662 Influenza vaccine split virus, preservative free	179	175	$93.00	$60.67
85610 Blood test, clotting time	110	11	$17.00	$4.26
G0009 Administration of pneumococcal vaccine	108	108	$82.00	$16.63
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	97	97	$172.00	$117.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	23	$82.00	$14.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$349.00	$143.97
81003 Automated urinalysis test	23	17	$10.00	$2.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$497.00	$168.13
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$69.00	$16.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$182.00	$54.11
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$141.83	$73.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$107.00	$45.36
17000 Destruction of skin growth	14	14	$279.00	$63.25
99495 Transitional care management services for problem of at least moderate complexity	14	13	$418.00	$186.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$263.00	$109.64
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$69.00	$17.20
90670 Pneumococcal vaccine for injection into muscle	11	11	$388.00	$222.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,620	19	$44.00	$18.68
99213 Established patient office or other outpatient visit, typically 15 minutes	983	553	$176.00	$74.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	955	512	$260.00	$108.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	472	472	$366.00	$116.85
G0444 Annual depression screening, 5 to 15 minutes	472	472	$60.00	$18.16
G0008 Administration of influenza virus vaccine	254	254	$82.00	$16.42
90662 Influenza vaccine split virus, preservative free	244	244	$93.00	$54.89
85610 Blood test, clotting time	170	17	$17.00	$4.28
G0009 Administration of pneumococcal vaccine	119	118	$82.00	$16.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	92	91	$172.00	$110.34
93000 Routine ekg using at least 12 leads including interpretation and report	81	81	$69.00	$17.08
17003 Destruction of precancer skin growth, 2-14 growths	75	20	$25.00	$5.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	49	$349.00	$146.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	28	$82.00	$16.74
17000 Destruction of skin growth	39	38	$279.00	$65.76
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	31	31	$497.00	$166.06
90670 Pneumococcal vaccine for injection into muscle	27	27	$388.00	$209.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	26	$182.00	$53.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$107.00	$45.22
99495 Transitional care management services for problem of at least moderate complexity	25	21	$418.00	$164.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$263.00	$103.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$400.00	$164.97
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$69.00	$17.08
81003 Automated urinalysis test	12	11	$10.00	$2.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$59.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,020	12	$44.00	$17.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	917	490	$260.00	$103.76
99213 Established patient office or other outpatient visit, typically 15 minutes	803	466	$176.00	$70.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	438	438	$366.00	$111.90
G0444 Annual depression screening, 5 to 15 minutes	436	436	$60.00	$17.23
G0008 Administration of influenza virus vaccine	294	286	$82.00	$20.24
90662 Influenza vaccine split virus, preservative free	286	279	$93.00	$52.08
93000 Routine ekg using at least 12 leads including interpretation and report	177	173	$69.00	$16.35
85610 Blood test, clotting time	165	18	$17.00	$4.75
G0009 Administration of pneumococcal vaccine	139	138	$82.00	$20.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	119	118	$172.00	$104.70
17003 Destruction of precancer skin growth, 2-14 growths	66	24	$25.00	$5.09
17000 Destruction of skin growth	59	54	$279.00	$64.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	43	$349.00	$139.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$107.00	$42.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	36	$82.00	$19.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	29	$182.00	$51.74
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$497.00	$151.45
J1040 Injection, methylprednisolone acetate, 80 mg	23	22	$25.00	$12.95
90670 Pneumococcal vaccine for injection into muscle	21	21	$388.00	$197.52
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	14	$47.00	$16.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	12	$140.00	$40.15
99495 Transitional care management services for problem of at least moderate complexity	17	16	$418.00	$157.96
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$69.00	$16.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	842	459	$260.00	$105.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	396	396	$366.00	$113.42
99213 Established patient office or other outpatient visit, typically 15 minutes	362	257	$176.00	$71.61
G0008 Administration of influenza virus vaccine	281	273	$82.00	$24.99
90662 Influenza vaccine split virus, preservative free	277	269	$93.00	$47.67
G0009 Administration of pneumococcal vaccine	276	275	$82.00	$24.90
85610 Blood test, clotting time	228	22	$17.00	$5.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	217	216	$172.00	$93.70
G0444 Annual depression screening, 5 to 15 minutes	170	170	$60.00	$17.62
17003 Destruction of precancer skin growth, 2-14 growths	128	37	$25.00	$5.54
93000 Routine ekg using at least 12 leads including interpretation and report	127	126	$69.00	$16.72
G0102 Prostate cancer screening; digital rectal examination	114	114	$68.00	$19.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	93	$107.00	$42.60
17000 Destruction of skin growth	71	62	$279.00	$65.80
90670 Pneumococcal vaccine for injection into muscle	61	61	$388.00	$179.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	44	$349.00	$142.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	31	31	$497.00	$163.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	19	$82.00	$25.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$182.00	$53.02
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	20	20	$69.00	$16.83

Medical Specialties & State Licenses

CMS Verified: 2020-08-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101042794

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1699773531 (VA)

Medicaid State Provider ID

5831563 (VA)

Commercial Insurance / Payer ID Npi Group

1831141597

Hospital & Practice Group Affiliations

Eventus Premier Healthcare Llc

250 Browns Hill Ct, Midlothian, VA 231149510

Phone: 8557432247

Eventus Wh Mid-Atlantic Care Llc

4701 Cox Rd, Glen Allen, VA 230606808

Phone: 8557432247

Secondary Practice Locations

707 S Jefferson St Unit 4

Roanoke, VA 240165100

Phone: 5403443020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Chelsea Bartlett , FNP-C

Nurse Practitioner - Family

NPI 1598140857

Family Nurse Practitioner (Certified)

Kayla Reid , FNP

Nurse Practitioner

NPI 1669157707

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location January 04, 2022

Registered at 1315 2ND ST SW, SUITE 202, ROANOKE, VA 240164944 (Tel: 5403443020)

📍

Updated Business Mailing Address January 04, 2022

Registered at 2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 370274692 (Tel: 6153737600)

📍

Updated Practice Location August 13, 2020

Registered at 707 S JEFFERSON ST UNIT 4, ROANOKE, VA 240165100 (Tel: 5403443020)

📍

Updated Business Mailing Address August 13, 2020

Registered at 2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 370274525 (Tel: 6153737600)

📍

Updated Practice Location May 23, 2018

Registered at 1315 2ND ST SW, SUITE 202, ROANOKE, VA 24016 (Tel: 5403443020)

📍

Updated Business Mailing Address May 23, 2018

Registered at PO BOX 403901, ATLANTA, GA 303843901 (Tel: 6153737600)

✅

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2017

Registered at 1315 2ND ST SW, SUITE 202, ROANOKE, VA 240164935 (Tel: 5403443020)

📍

Updated Business Mailing Address June 08, 2017

Registered at 1315 2ND ST SW, SUITE 202, ROANOKE, VA 240164935 (Tel: 5403443020)

👤

Provider Name / Credentials Updated June 08, 2017

Recorded as WILLIAM MITCHELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Internal Medicine (License #0101042794 in VA)

✅

NPI Profile Active June 30, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2011

Registered at 1315 2ND ST SW, SUITE 202, ROANOKE, VA 240164935 (Tel: 5403443020)

📍

Updated Business Mailing Address June 30, 2011

Registered at 1315 2ND ST SW, SUITE 202, ROANOKE, VA 240164935 (Tel: 5403443020)

👤

Provider Name / Credentials Updated June 30, 2011

Recorded as WILLIAM MITCHELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2011

Internal Medicine (License #0101042794 in VA)

🟢

Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699773531

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2005

Last Update: January 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Health Park Dr Fl Hp2

Brentwood, TN 370274692

Phone: 6153737600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.