Individual
MR. MICHAEL JAMES SPELLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
37553
TN
2085R0202X
Diagnostic Radiology Physician
2025-00442
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD37553
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509317
MEDICAID - MTI
TN
05
—
1509317
—
TN
01
—
1641017
UNITED HEALTHCARE OF TN
TN
05
—
3884578
—
TN
01
—
4062353
BCBS
TN
01
—
4062380
BCBS
TN
01
—
4078470
BCBS
TN
01
—
4201804
BCBS TN
TN
01
—
4291381
BCBS - MTI
TN
01
—
64067788
KY MEDICAID
KY
05
—
6406778800
—
KY
01
—
P00012845
RAILROAD MEDICARE
TN
01
—
P00960028
RR MEDICARE - MTI
TN
01
—
PENDING
CIGNA
TN
Enumeration date
06/05/2006
Last updated
05/06/2025
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