Individual provider Active NPI

David Chad Hitchcock, P.A.

  • Physician Assistant
  • Mount Juliet, TN
National Provider Identifier
1013285972
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000002002 Issued in TN
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

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6012066OtherTNBLUE CROSS-BLUE SHIELD
P0102693OtherTNRR MEDICARE
1527481MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000917 TN Practitioner - Physician Assistant 9739356221 Reassigns benefits to 1 organization

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
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

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 Hospital, Nashville, TN, CCN 440082
  • Saint Thomas Highlands Hospital Hospital, Sparta, TN, CCN 440192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2002TNMDBehavioral Analyst
PA0000002002TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 13, 2014 Accepting new patients
Saint Thomas Medical Partners CurrentSince May 13, 2014 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

  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.