Active NPI
Daniel Adkisson
- Physician Assistant
- Dickson, TN
National Provider Identifier
1033204037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- DANIEL ADKISSON
- Practice address
- 219 Church St
Dickson, TN 37055-1303 - Phone
- (615) 446-0522
- Fax
- (615) 446-4737
- NPI assigned
- Oct 4, 2006
- Last updated
- May 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel J Adkisson, PA
- Title
- Owner
- Phone
- (615) 446-0522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
219 Church St
Dickson, TN 37055-1303
Mailing address
PO Box 711
Dickson, TN 37056-0711
Phone (615) 446-0522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3725526 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Dickson, TN
- NPI 1316961410
-
- Family Nurse Practitioner
- Dickson, TN
- NPI 1679664411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1033204037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "DICKSON",
"state": "TN",
"postal_code": "370560711",
"telephone_number": "615-446-0522",
"fax_number": "615-446-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CHURCH ST",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551303",
"telephone_number": "615-446-0522",
"fax_number": "615-446-4737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL ADKISSON",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "ADKISSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-446-0522",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3725526",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.