Provider Demographics
NPI:1437101524
Name:EBY, JAMES WILDER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILDER
Last Name:EBY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:7116 NOLENSVILLE RD STE 704
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-3041
Practice Address - Country:US
Practice Address - Phone:615-283-9903
Practice Address - Fax:615-283-8148
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42082208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000718Medicaid
TN4342403OtherBCBS
TNI54014OtherUPIN
TN3000718Medicare PIN
TN103I259359Medicare PIN