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Dr. William Samuel Wiseman , MD

General Practice β€’ Mount Juliet, TN

Active NPI 1235296104 Individual Practitioner Male Practitioner
Practice location in NPPES

506 Reserve Pl
Mount Juliet, TN 371226393

Call 6154235437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

506 Reserve Pl

Mount Juliet, TN 371226393

Telephone 6154235437

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mount Juliet and Tennessee

2 active clinicians are listed under General Practice with a practice address in Mount Juliet, TN (169 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-15
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES TN 34694

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TN 34694

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
3898547 (TN)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 15, 2023

Registered at 506 RESERVE PL, MOUNT JULIET, TN 371226393 (Tel: 6154235437)

πŸ“
Updated Business Mailing Address January 15, 2023

Registered at PO BOX 244, GOODLETTSVILLE, TN 370700244 (Tel: 6154235437)

βœ…
NPI Profile Active April 10, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2013

Registered at 1998 HIGHWAY 51 S, COVINGTON, TN 380193623 (Tel: 9014767570)

πŸ“
Business Mailing Address (Initial Record) April 10, 2013

Registered at PO BOX 405827, ATLANTA, GA 303845827 (Tel: 9012274068)

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2013

Recorded as WILLIAM WISEMAN, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2013

Pediatrics (license number reported to NPPES: TN 34694)

🟒
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235296104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: January 15, 2023
Sole Proprietor: No

Mailing Address

Po Box 244

Goodlettsville, TN 370700244

Phone: 6154235437

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.