DR. NICHOLAS CONLEY MD
NPI 1639603640
Family Medicine in Franklin, TN
NPI Status: Active since April 17, 2017
Contact Information
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
Phone: (615) 790-0567
Fax: (615) 595-8030
- Individual
- Male
- Years of Experience 9
- Family Medicine
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About NICHOLAS CONLEY
This page provides the complete NPI Profile along with additional information for Nicholas Conley, a primary care provider established in Franklin, Tennessee with a medical specialization in Family Medicine and more than 9 years of experience. He graduated from Meharry Medical College School Of Medicine in 2017. The healthcare provider is registered in the NPI registry with number 1639603640 assigned on April 2017. The practitioner's primary taxonomy code is 207Q00000X with license number 58411 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1639603640
- Provider Name
- DR. NICHOLAS CONLEY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 143 SE PARKWAY CT FRANKLIN, TN 37064
- Location Phone
- (615) 790-0567
- Location Fax
- (615) 595-8030
- Mailing Address
- 143 SE PARKWAY CT FRANKLIN, TN 37064
- Mailing Phone
- (615) 790-0567
- Mailing Fax
- (615) 595-8030
- Medical School Name
- MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-17-2017
- Last Update Date
- 11-06-2023
- Code Navigator
A primary care provider (PCP) like Nicholas Conley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 58411
- License State
- TN
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | 58411 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicholas Conley is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Nicholas Conley 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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
PECOS PAC ID: 2567861198
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210601002040
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician 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 37064 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- 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 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 6 | 0 | 3 | 6 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 0 | 6 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 0 + 6 + 6 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639603640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
GRACE DAUBENMIER
Student in an Organized Health Care Education/Training Program
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
ELIZABETH ANNE COWART
Nurse Practitioner
(Family)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
KIMBERLY DIGMAN LPC MHSP
Counselor
(Professional)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
CHRISTOPHER JEWETT
Counselor
(Professional)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
MS. SHARON WHITLEY STAHLER M.S., L.P.C.
Counselor
(Professional)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
ABIGAIL WEST PRE-LPC
Counselor
(Professional)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
HANNAH ALEXANDRA LLOYD PA-C
Physician Assistant
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
KATE DYLESKI
Marriage & Family Therapist
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
MRS. SARAH ELIZABETH AUVILLE BSN, PA-C
Physician Assistant
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
JIM BRYCE HARPER APRN
Nurse Practitioner
(Family)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
TAMI SCHULTHEIS LCSW
Social Worker
(Clinical)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
SAVANNAH WARREN
Nurse Practitioner
(Family)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
MADISON STANCLIFF
Counselor
(Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
SAVANNAH HESTER APRN
Nurse Practitioner
(Psychiatric/Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
SAMUEL ALEXIS
Counselor
(Professional)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
ADELYNN MITCHELL
Counselor
(Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN
ZIP 37064
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639603640, enumerated as an "individual" on April 17, 2017.
The provider is located at 143 SE PARKWAY CT FRANKLIN, TN 37064 and the phone number is (615) 790-0567.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and Oscar. Please consult your insurance carrier or call the provider to verify.
