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DR. ZANDRA RENEE PETWAY MD
NPI 1265447619
General Practice in Brentwood, TN

Active since July 31, 2006PECOS Enrolled
5115 MARYLAND WAY, STE 65, BRENTWOOD, TN 37027(615) 943-5503(615) 884-0219 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Zandra Renee Petway Md NPPES

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

DR. ZANDRA RENEE PETWAY MD (NPI 1265447619) is an individual general practice provider in Brentwood, Tennessee, licensed in Tennessee (27699) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265447619
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. ZANDRA RENEE PETWAYCredential: MD
Location Address5115 MARYLAND WAY, STE 65Brentwood, TN 37027
Mailing AddressPo Box 2018Brentwood, TN 37024-2018 · (615) 933-5244 · Fax (615) 884-0219
Phone(615) 943-5503
Fax(615) 884-0219
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateDecember 26, 2024
✔ NPI 1265447619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 27699
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5115 MARYLAND WAY, Brentwood, TN 37027
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Other Identifiers 1

Medicaid3802977TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zandra Renee Petway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Zandra Petway reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

AFC Physicians Of Tennessee, PC
14 mi
General Practice
985 INDUSTRIAL BLVD
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1285937003 (615) 220-8500
South Central Physicians PLLC
871 mi
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1427611854 (888) 264-0330
Concord Medical Group PLLC
872 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 116 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330

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

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA MARTIN APRN
Nurse Practitioner (Psychiatric/Mental Health)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 628-7176
THERESE ELIZABETH GRABLE LPC-MHSP
Counselor (Professional)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 500-4761
RAMBO & ASSOCIATES, PLLC
Counselor (Mental Health)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 445-7600
TGR GROUP, LLC
Counselor (Professional)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 500-4761
TERRY MILTON HUFF LCSW
Social Worker (Clinical)
5115 MARYLAND WAY, STE 101
BRENTWOOD, TN 37027
Williamson County (615) 627-4191
MOBILE TESTING OF TENNESSEE, INC.
Clinic/Center (Multi-Specialty)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 346-5512
DAVID S. GOLDBERG M.D.
Emergency Medicine (Emergency Medical Services)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 377-0716
MRS. MEGAN SCHMERBAUCH MCCARTHY M.A.
Counselor (Mental Health)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Williamson County (615) 734-0839

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 Zandra Petway's NPI number?

The NPI number for Zandra Petway is 1265447619. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Zandra Petway located?

Zandra Petway practices at 5115 Maryland Way Ste 65, Brentwood, TN 37027. The listed phone number is (615) 943-5503.

What is Zandra Petway's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Zandra Petway enrolled in Medicare?

Yes. Zandra Petway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Zandra Petway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zandra Petway reassigns Medicare benefits to 3 organizations: AFC Physicians Of Tennessee, PC (Smyrna, TN), South Central Physicians PLLC (Lubbock, TX) and Concord Medical Group PLLC (Lubbock, TX). Each 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 Zandra Petway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Zandra Petway was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.