NPIMap

Individual provider Active NPI

Ronald Allen Carden, PA

  • Physician Assistant
  • Clarksville, TN
National Provider Identifier
1013092410
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61925 Issued in CA
Practice address
2320 Wilma Rudolph Blvd.
Clarksville, TN 37040-8960
Phone
(931) 645-1564
Fax
(931) 645-3842
NPI assigned
Oct 25, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2064 TN
Physician Assistant 363A00000X 1035413 NU
Physician Assistant 363A00000X PA61925 CA Primary

Addresses

Primary practice location

2320 Wilma Rudolph Blvd.
Clarksville, TN 37040-8960

Mailing address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (931) 249-9816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000562 TN Practitioner - Physician Assistant 6103902028

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Sierra Medical Clinic IncGroup PAC ID 3971571217, shared by 4 NPIs, 35 clinicians

Practice addresses (Care Compare)

PO Box
Downieville, CA 95936-0286

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2064TNMDPhysical Therapist
PA61925CAMDPhysician Assistant
TC008KYMDPhysician Assistant
PA2064TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Emergency Physicians PLLC CurrentSince May 1, 2015 Accepting new patients
Magpie Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Western Sierra Medical Clinic, Inc. Past Accepting new patients
Tennessee Em-I Medical Services PC Physician Assistant Past Accepting new patients
Brentwood OB GYN Past Accepting new patients
Emergency Physicians of Hopkinsville PLLC Past Accepting new patients

Locations

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJGCA/Endpoint/FHJGCA
  • Direct secure messaging: ronald.carden.p1@direct.rrhc.nextgenshare.com
  • Direct secure messaging: ronald.carden@wsmc1.eclinicaldirectplus.com
  • Direct secure messaging: ronald.cardenpa.p1@direct.rrhc.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1013092410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "931-249-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WILMA RUDOLPH BLVD.",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408960",
            "telephone_number": "931-645-1564",
            "fax_number": "931-645-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEN",
        "first_name": "RONALD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA2064",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "1035413",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.