MADISON COLLEEN SWANEY MD
NPI 1720653751
Pathology - Anatomic Pathology & Clinical Pathology in Nashville, TN
About Madison Colleen Swaney Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON COLLEEN SWANEY MD (NPI 1720653751) is an individual anatomic pathology & clinical pathology provider in Nashville, Tennessee, licensed in Tennessee (77483) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madison Colleen Swaney Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Madison Swaney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Knoxville, TN 37920
- Reassigned Medicare billing, Tennessee enrollment
- 12 clinicians in this Medicare group
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCUniversity Health System, Inc
Acute Care Hospitals · Knoxville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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 Madison Swaney's NPI number?
The NPI number for Madison Swaney is 1720653751. It was assigned to this individual provider in the NPPES registry on May 21, 2021.
Where is Madison Swaney located?
Madison Swaney practices at 1161 21st Ave S, Nashville, TN 37232. The listed phone number is (615) 936-8283.
What is Madison Swaney's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Madison Swaney enrolled in Medicare?
Yes. Madison Swaney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Madison Swaney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Swaney reassigns Medicare benefits to 2 organizations: University Pathologists, P.C. (Knoxville, TN) and Duke Health Integrated Practice, Inc. (Mooresville, NC). 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 Madison Swaney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madison Swaney accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Madison Swaney 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.
Is Madison Swaney affiliated with any hospitals?
According to CMS data, Madison Swaney is affiliated with Duke University Hospital and University Health System, Inc.
When was this NPI record last updated?
The NPPES record for Madison Swaney was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Madison Colleen Swaney, MD · NPI 1720653751
Anatomic Pathology & Clinical Pathology physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since May 21, 2021.
## Identity
- **NPI:** 1720653751 (Entity type: Individual)
- **Enumerated:** May 21, 2021
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 77483 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1161 21ST AVE S, Nashville, TN 37232-0011
- **Phone:** (615) 936-8283
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Pathologists, P.C. (NPI 1013039924, Knoxville, TN); Duke Health Integrated Practice, Inc. (NPI 1760288633, Mooresville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720653751) · Data from the CMS NPPES public registry.