DR. BILLY DEREK WORLEY (NPI# 1649536434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649536434 |
| Entity Type | Individual |
| Full Name | DR. BILLY DEREK WORLEY |
| Credential | MD |
| Practice Address |
105 S Willow Ave Cookeville TN 38501-4667 |
| Practice Telephone | 9315269518 |
| Practice Fax Number | 9313727717 |
| Mailing Telephone | 9315269518 |
| Mailing Fax Number | 9313727717 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
56710 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q033031 | 05 |
| Street Address |
105 S WILLOW AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316448 | Scott M Lamb | Nurse Practitioner | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2005-06-14 |
| 1306339114 | Coty Louis Keel | Physical Therapist | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2018-06-07 |
| 1588024806 | Kelly Billings | Physician Assistant | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2016-02-29 |
| 1992183412 | William Jacob Wallace | Physician Assistant | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2015-05-16 |
| 1831501824 | Christopher Juels | Podiatrist | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2014-05-23 |
| 1831430818 | Shawn Paul Stachler | Orthopaedic Surgery | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2013-03-15 |
| 1922369750 | Walter John Jermakowicz | Neurological Surgery | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2012-06-07 |
| 1164585923 | Cumberland Neurological and Spinal Surgery | Neurological Surgery | 105 S Willow Ave, Suite 200, Cookeville, TN 38501-4667 | 2006-12-19 |
| 1528160371 | David E Burstedt | Specialist | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2006-09-02 |
| 1962518985 | Matthew Adam Finn | Physician Assistant | 105 S Willow Ave, Suite 200, Cookeville, TN 38501-3138 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699290130 | Burena Jervene Edens | Internal Medicine | Po Box 500, Milligan College, TN 37682-0500 | 2017-08-05 |
| 1376888537 | Orthotennessee, PC | Internal Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2012-11-29 |
| 1346537370 | Aneesh Garg | Internal Medicine | 2400 Patterson St Ste 300, Nashville, TN 37203-1558 | 2011-06-28 |
| 1699869297 | Amg-livingston LLC | Internal Medicine | 506 W Main St, Livingston, TN 38570-1718 | 2006-10-03 |
| City | COOKEVILLE |
| Zip Code | 38501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.