SWAN UROGYNECOLOGY, PC
NPI 1104105873
Clinic/Center - Medical Specialty in Nashville, TN

Active since August 11, 2011
329 21ST AVENUE NORTH, SUITE 1, NASHVILLE, TN 37203(615) 515-9180(615) 712-7647 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Swan Urogynecology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWAN UROGYNECOLOGY, PC (NPI 1104105873) is a healthcare organization registered as a medical specialty in Nashville, Tennessee and active in the NPI registry since August 2011. The organization lists Tabitha Mondrage, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104105873
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSWAN UROGYNECOLOGY, PC
Location Address329 21ST AVENUE NORTH, SUITE 1Nashville, TN 37203-1857
Mailing Address329 21st Avenue North, Suite 1Nashville, TN 37203-1857 · (615) 515-9180 · Fax (615) 712-7647
Fax(615) 712-7647
Organization SubpartNo
Authorized OfficialTabitha MondrageOffice Manager · (615) 515-9180
Enumeration DateAugust 11, 2011
Last NPPES UpdateJuly 21, 2022
✔ NPI 1104105873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
329 21ST AVENUE NORTH, Nashville, TN 37203

Other Identifiers 4

Medicaid1526073TN
Other4296723TN · Bcbs
Other5347655TN · Aetna
Other1104105873TN · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Swan Urogynecology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Swan Urogynecology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1861488777
329 21ST AVE NORTH SUITE 1
Nashville, TN 37203
(615) 515-9180
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swan Urogynecology, PC's NPI number?

The NPI number for Swan Urogynecology, PC is 1104105873. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Swan Urogynecology, PC located?

Swan Urogynecology, PC is located at 329 21st Avenue North Suite 1, Nashville, TN 37203. The listed phone number is (615) 515-9180.

What is Swan Urogynecology, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Swan Urogynecology, PC enrolled in Medicare?

Yes. Swan Urogynecology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Swan Urogynecology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Swan Urogynecology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Swan Urogynecology, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.