Active NPI
David Chad Hitchcock, P.A.
- Physician Assistant
- Mount Juliet, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0000002002
- Practice address
- 5000 Crossings Cir
Suite 101
Mount Juliet, TN 37122-8592 - Phone
- (615) 758-1010
- Fax
- (615) 758-3875
- NPI assigned
- Dec 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0000002002 | TN | Primary |
Addresses
Primary practice location
5000 Crossings Cir
Suite 101
Mount Juliet, TN 37122-8592
Mailing address
5000 Crossings Cir
Suite 101
Mount Juliet, TN 37122-8592
Phone (615) 758-1010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6012066 | Other | TN | BLUE CROSS-BLUE SHIELD |
| P0102693 | Other | TN | RR MEDICARE |
| 1527481 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400
300 Steam Plant Rd
Gallatin, TN 37066-3089
Phone (615) 451-9200
301 21St Ave N
Nashville, TN 37203-1821
Phone (615) 329-5144
Hospital & facility affiliations
- Ascension Saint Thomas Hospital
- Saint Thomas Highlands Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002 | TN | MD | Behavioral Analyst |
| PA0000002002 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Past | Accepting new patients |
Locations
301 21st Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-5144
300 20th Ave N
Fl 9
Nashville, TN 37203
Interoperability endpoints
- https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
- d.chad.hitchcock.1@7654.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Mobile Mammography Clinic/Center
- Nashville, TN
- NPI 1881981033
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sparta, TN
- NPI 1922487966
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1013285972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CROSSINGS CIR",
"address_2": "SUITE 101",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371228592",
"telephone_number": "615-758-1010",
"fax_number": "615-758-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CROSSINGS CIR",
"address_2": "SUITE 101",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371228592",
"telephone_number": "615-758-1010",
"fax_number": "615-758-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHCOCK",
"first_name": "DAVID",
"middle_name": "CHAD",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA0000002002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHIELD",
"identifier": "6012066",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P0102693",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1527481",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.