DR. WILLIE THOMAS ANDERSON M.D. NPI 1851448476

NPI Information

NPI: 1851448476
Provider Name: DR. WILLIE THOMAS ANDERSON, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Organization: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
125 COOL SPRINGS BLVD. STE #210
FRANKLIN, TN
ZIP 37067
Phone: (615) 472-7190
Get Directions

DR. Willie Thomas Anderson, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Franklin, TN with 31 years of experience. The provider is 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. DR. Willie Thomas Anderson, M.D. NPI is 1851448476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

125 COOL SPRINGS BLVD. STE #210
FRANKLIN, TN
ZIP 37067
Phone: (615) 472-7190
Fax: (615) 472-7189

The NPI 1851448476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	MD0000039211	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G99276	MEDICARE UPIN	TENNESSEE
2	BA6322426	OTHER	TENNESSEE	DEA NUMBER
3	BA6322426	OTHER		DEA NUMBER
4	332756	MEDICAID	TENNESSEE
5	MD0000039211	OTHER	TENNESSEE	STATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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