MEDICARE: DR. ROBERT ALLEN SHEARER MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0401X	Addiction Medicine (Internal Medicine) Physician	10243	TN
2	207VG0400X	Gynecology Physician	10243	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3118516	OTHER	TN	BLUE CROSS/BLUE SHIELD
3	10075202	OTHER	TN	AMERIGROUP
4	TN0101	OTHER	TN	AMERICHOICE

NPI Number	:	1134142987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALLEN SHEARER MD

Provider Business Mailing Address
First Line	:	4515 HARDING PIKE STE 327
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2118
Country	:	US
Telephone Number	:	615-416-8010
Fax Number	:	615-915-3436

Provider Business Practice Location Address
First Line	:	801 HILL ST
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-2951
Country	:	US
Telephone Number	:	615-800-8981
Fax Number	:	615-800-8980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	02/10/2026

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039