Fausta Ditah, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD50497 Issued in TN

Practice address

647 Dunlop LN Ste 210
Clarksville, TN 37040-5165

Phone

(931) 502-3810

Fax

(931) 502-3815

NPI assigned

Jul 3, 2008

Last updated

Aug 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Gastroenterology

Education

University of Michigan Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarksville Physician Services, LLCGroup PAC ID 0547276917, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
• Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fausta.ditah.1@1879.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4

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.

• Clarksville Physician Services LLC

  dba Vanderbilt Physician Services Clarksville

  • General Practice Physician
  • Clarksville, TN
  • NPI 1083657829

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Clarksville Physician Services, LLC

  dba Dover Medical Clinic

  • Rural Health Clinic/Center
  • Dover, TN
  • NPI 1992077077
  NPD (past)

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

• Clarksville Health System, LLC

  dba Tennova Healthcare-Clarksville

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205
  Care Compare affiliation

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1063675692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "fax_number": "615-322-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 DUNLOP LN STE 210",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405165",
            "telephone_number": "931-502-3810",
            "fax_number": "931-502-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Medical Park Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376343",
            "country_code": "US",
            "telephone_number": "570-524-2722",
            "fax_number": "570-768-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Barrett Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-738-5648",
            "fax_number": "717-327-4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "954 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-376-1180",
            "fax_number": "717-376-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITAH",
        "first_name": "FAUSTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD495288",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD50497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005509",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Dillon, BSW
• Brittany Dinkel
• Dino a Delaurentis DO PLLC
• Amber Dinser
• Christena Dinsmore-Nassar
• Molly Ann Divine, BCBA
• Nicole Alexandria Dix, RN
• Dixie Infusion Pharmacy, LLC (Dixie Vital Care - AIC)
• Dixie Infusion Pharmacy, LLC (Dixie Vital Care)
• Alan Tyler Dixon I, 261155964 FSO

• Gastroenterology Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.

Verify at the official NPI Registry.