Individual provider Active NPI

Brayden Flanagan, MHS, PA-C, ATC

  • Physician Assistant
  • Mt Juliet, TN
National Provider Identifier
1023828076
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6352 Issued in TN
Practice address
4998 Crossing Circle
Unit 200
Mt Juliet, TN 37122
Phone
(615) 553-5000
NPI assigned
Jan 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physician Assistant 363A00000X 6352 TN Primary

Addresses

Primary practice location

4998 Crossing Circle
Unit 200
Mt Juliet, TN 37122

Mailing address

4998 Crossing Circle
Unit 200
Mt Juliet, TN 37122
Phone (615) 553-5000

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
I20250418000543 TN Practitioner - Physician Assistant 0042735482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

4998 Crossings Cir
Suite 200
Mt Juliet, TN 37122-0018
Phone (615) 553-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6352TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 3, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 11, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Oct 19, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 3, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 11, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Oct 19, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

607 Highway 76
White House, TN 37188
Phone (615) 616-9415

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1023828076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 CROSSING CIRCLE",
            "address_2": "UNIT 200",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-553-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 CROSSING CIRCLE",
            "address_2": "UNIT 200",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-553-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "BRAYDEN",
        "credential": "MHS, PA-C, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-11",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.