DR. SUE ANN MCGUIRE MD
NPI 1326031097
Obstetrics & Gynecology in Nashville, TN
NPI Status: Active since August 26, 2005
Contact Information
2215 JACKSON DOWNS BLVD
NASHVILLE, TN
ZIP 37214
Phone: (615) 467-6178
Fax: (615) 467-6180
- Individual
- Female
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
- CLIA Number: 44D0994974
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2026
About SUE ANN MCGUIRE
This page provides the complete NPI Profile along with additional information for Sue Ann Mcguire, a women's health care provider established in Nashville, Tennessee with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1326031097 assigned on August 2005. The practitioner's primary taxonomy code is 207V00000X with license number MD0000031539 (TN). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1326031097
- Provider Name
- DR. SUE ANN MCGUIRE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2215 JACKSON DOWNS BLVD NASHVILLE, TN 37214
- Location Phone
- (615) 467-6178
- Location Fax
- (615) 467-6180
- Mailing Address
- 2215 JACKSON DOWNS BLVD NASHVILLE, TN 37214
- Mailing Phone
- (615) 467-6178
- Mailing Fax
- (615) 467-6180
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-26-2005
- Last Update Date
- 07-29-2019
- Code Navigator
Women's health care providers like Sue Ann Mcguire treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Secondary Locations
- 2215 Jackson Downs Blvd
Nashville, TN 37214
(615) 467-6178 - 5653 Frist Blvd Ste 339
Hermitage, TN 37076
(615) 467-6178
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD0000031539
- License State
- TN
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4025094 | OTHER (01) | TENNCARE SELECT | |
| 621864397 | OTHER (01) | GOLDEN RULE MIDDLETOWN NY | |
| 621864397 | OTHER (01) | INDIAN HEALTH SERVICE | |
| 621864397 | OTHER (01) | PAN AMERICAN LIFE | |
| 621864397 | OTHER (01) | CBCS ADMINISTRATORS | |
| 1866883 | OTHER (01) | FIRST HEALTH | |
| 621864397 | OTHER (01) | BEECH STREET | |
| 621864397 | OTHER (01) | CIGNA | |
| 621864397 | OTHER (01) | GREAT WEST ONE HEALTH | |
| 621864397 | OTHER (01) | HUMANA | |
| 7725067 | OTHER (01) | AETNA | |
| G98850 | OTHER (01) | HEALTHSPRING | |
| 621864397 | OTHER (01) | UNITED HEALTHCARE | |
| 621864397 | OTHER (01) | PHCS PRIVATE HEALTHCARE S | |
| 621864397 | OTHER (01) | AARP | |
| 4025094 | OTHER (01) | BLUE CROSS BLUE SHIELD OF | |
| 621864397 | OTHER (01) | MED COST PREFERRED | |
| 621864397 | OTHER (01) | WILLIAM C BEELER |
Medicare Participation & PECOS Enrollment Status
Sue Ann Mcguire is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
This service was performed 45 times for 45 patientsA Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
This service was performed 41 times for 41 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37214 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.01
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0994974
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2024
- Certificate Expiration Date
- December 01, 2026
- Laboratory Director
- SUE A. MCGUIRE MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Sue Ann Mcguire in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1326031097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326031097, enumerated as an "individual" on August 26, 2005.
The provider is located at 2215 JACKSON DOWNS BLVD NASHVILLE, TN 37214 and the phone number is (615) 467-6178.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: UnitedHealthcare, Medicare, Medicaid, Cigna,. Please consult your insurance carrier or call the provider to verify.
