Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Walter Lewis Heatherly

Individual provider Physician Assistant · NPI 1962115873

Mr. Walter Lewis Heatherly is a Physician Assistant in Brentwood, Tennessee. Graduated from Florida International Univ, College of Medicine in 2019, 7 years ago. Practices with Iris Medical Group, a 80-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
Trained at
Florida International Univ, College of Medicine
In the registry since
2023
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Practice location Address checks out

9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737
Phone: (615) 274-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Franklin Rd Ste 135-A270, Brentwood, TN 37027-3280 — (225) 284-7336

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962115873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Iris Medical Group — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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