MR. EDMOND TANNER CONWAY (FNP C) – Gastroenterology Physician, NPI 1871586545

MR. EDMOND TANNER CONWAY (FNP C) is a healthcare provider. based in Nashville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP C. They hold a License No. 110453 (TN). The NPI Number for MR. EDMOND TANNER CONWAY (FNP C) is 1871586545

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. EDMOND TANNER CONWAY (FNP C)
NPI
1871586545
Phone
(615) 832-5530
Address
330 WALLACE RD
Enumeration Date
26 August 2005
Last Update Date
15 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
0547441420
Group Practice PAC ID
6204069602
Professional Enrollment ID
I20110225000022
Address ID
TN370675920FR4323XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for MR. EDMOND TANNER CONWAY (FNP C)

  • 330, Wallace Road, Kenilworth Estates, Nashville, Davidson County, Tennessee, 37211, United States

    SUITE 103

    NASHVILLE, TN 372114893

    Phone: (615) 832-5530

    Fax: (615) 832-5713

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $1,991.

Total Amount is formed as General ($1,991) + Research ($0) + Ownership ($0) = $1,991.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($595).

Total Amount

$1,991

General + Research + Ownership

Payments

100

Total payment records

General Amount

$1,991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110225000022INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204069602View full group profile
NameSpecialtyState
Pulmonary DiseaseTN
General SurgeryTN
Internal Medicine, Pulmonary DiseaseTN
N E U R O L O G YTN
Nurse PractitionerTN
-TN
Family PracticeTN
General SurgeryTN
Physician AssistantGA
N E U R O L O G YTN

Reviews

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Frequently asked questions

What is the standard ID for MR. EDMOND TANNER CONWAY (FNP C) in the U.S.?
In the U.S., MR. EDMOND TANNER CONWAY (FNP C) is identified by NPI 1871586545.
Should I treat MR. EDMOND TANNER CONWAY (FNP C) as an active provider?
Patients and plans typically see MR. EDMOND TANNER CONWAY (FNP C) as active in the national extract.
What services align with MR. EDMOND TANNER CONWAY (FNP C)'s listing?
MR. EDMOND TANNER CONWAY (FNP C)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MR. EDMOND TANNER CONWAY (FNP C)?
The directory associates MR. EDMOND TANNER CONWAY (FNP C) with Nashville, Tennessee. Check all listed addresses for suites or satellite offices.
Who maintains MR. EDMOND TANNER CONWAY (FNP C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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