MEDICARE: TENNESSEE ONCOLOGY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1194862573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE ONCOLOGY PLLC

Provider Business Mailing Address
First Line	:	2004 HAYES ST STE 800
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2659
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 HARDING PIKE STE 202
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2098
Country	:	US
Telephone Number	:	615-662-6676
Fax Number	:

Authorized Official
Title or Position	:	PAYER RELATIONS MANAGER
Name	:	PATTIE DOUGLAS
Credential	:
Telephone Number	:	615-514-3042

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	04/02/2025

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