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: August 09, 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
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

Other Identifiers 1

Medicaid3802977TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Counselor (Mental Health)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Counselor (Professional)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Social Worker (Clinical)
5115 MARYLAND WAY, STE 101
BRENTWOOD, TN 37027
Clinic/Center (Multi-Specialty)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Emergency Medicine (Emergency Medical Services)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Counselor (Mental Health)
5115 MARYLAND WAY
BRENTWOOD, TN 37027
Social Worker (Clinical)
5115 MARYLAND WAY
BRENTWOOD, TN 37027

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.

What insurance does Zandra Petway accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Zandra Petway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 19 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.