DR. WILLIE THOMAS ANDERSON III (NPI# 1851448476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851448476 |
| Entity Type | Individual |
| Full Name | DR. WILLIE THOMAS ANDERSON III |
| Credential | M.D. |
| Practice Address |
125 Cool Springs Blvd. Ste #210 Franklin TN 37067 |
| Practice Telephone | 6154727190 |
| Practice Fax Number | 6154727189 |
| Mailing Telephone | 6154727190 |
| Mailing Fax Number | 6154727189 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD0000039211 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BA6322426 | 01 | |
| TN | STATE MEDICAL LICENSE | MD0000039211 | 01 |
| TN | 332756 | 05 | |
| TN | DEA NUMBER | BA6322426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497864268 | Willie Brent Anderson | Physician Assistant | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2006-08-29 |
| 1649574559 | Willie Dwayne Anderson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2011-01-06 |
| Street Address |
125 COOL SPRINGS BLVD. STE #210 |
| City | FRANKLIN |
| State | TN |
| Zip Code | 37067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580628 | Jennifer Patterson Juskowich | Physical Therapist | 101 International Drive, Franklin, TN 37067 | 2020-08-28 |
| 1841819505 | Kasar Findi | Nurse Practitioner | 2105 Eward Curd Lane, Nashville, TN 37067 | 2020-04-13 |
| 1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
| 1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
| 1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
| 1730657735 | Physicians Wellness Group Pllc | Family Medicine | 2235 East Mcewen Drive, Franklin, TN 37067 | 2018-11-07 |
| 1467945402 | Steven A Roush | Dentist | 5040 Carothers Parkway, Ste 101, Franklin, TN 37067 | 2018-06-13 |
| 1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
| Find all providers in zip 37067 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750610689 | Virinder Nohria | Psychiatry & Neurology | 111 Skyline View Rd, Franklin, NC 28734-4769 | 2009-12-24 |
| 1427098664 | Barbara Jean Olson | Psychiatry & Neurology | 1113 Murfreesboro Rd Ste 319, Franklin, TN 37064-1312 | 2006-06-07 |
| 1700037074 | Willie Anderson Md LLC | Psychiatry & Neurology | 125 Cool Springs Blvd, Suite 210, Franklin, TN 37067-6474 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699160515 | Eric Andrew Armour | Psychiatry & Neurology | 2220 Pierce Ave # B-1053, Nashville, TN 37232-1559 | 2015-03-30 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1629369475 | Amy Law Patterson | Psychiatry & Neurology | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2011-04-27 |
| 1366599250 | Robert Carson | Psychiatry & Neurology | A0118 Mcn, 1161 21st Avenue South, Nashville, TN 37232-0001 | 2007-01-04 |
| 1659482305 | James Alan Fry | Psychiatry & Neurology | 1916 Patterson St # 104, Nashville, TN 37203-2120 | 2006-08-31 |
| 1659337855 | James Wheless | Psychiatry & Neurology | 848 Adams Ave., Ste. L400, Memphis, TN 38105 | 2006-04-25 |
| 1629070651 | David M Suhrbier | Psychiatry & Neurology | 910 Blackford St, Chattanooga, TN 37403-1405 | 2005-08-10 |
| 1598152928 | Andrew Charles Schroeder | Psychiatry & Neurology | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2015-04-23 |
| 1104212653 | Jessica Demarest Wharton | Psychiatry & Neurology | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-04-11 |
| 1316387095 | Nitish Chourasia | Psychiatry & Neurology | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2013-06-26 |
| Find all providers with the same taxonomy | ||||
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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.