Daniel Patrick Brown, PA-C
Individual provider Active NPI Physician Assistant · Camden, TN
NPI 1063867950 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1063867950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3033 (TN)
- Practice address
- 190 W Main St
Camden, TN 38320-1609 - Phone
- (731) 213-2662
- NPI assigned
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160726002848 | TN | Practitioner - Physician Assistant | 6406149533 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3033 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shamrock Community Hospital Inc | Current |
Accepting new patients | |
| Henry County Medical Center | Current |
Accepting new patients | |
| Haywood County Community Hospital Inc | Current |
Accepting new patients | |
| DC Medical Services Inc | Family Medicine | Current |
Accepting new patients |
| Lexington Clinic Corp | Family Medicine | Current |
Accepting new patients |
| Lexington Hospital Corporation | Family Medicine | Current |
Accepting new patients |
| Shamrock Community Hospital Inc. | Current |
Accepting new patients | |
| Lexington Hospital Corporation | Current |
Accepting new patients | |
| Haywood County Community Hospital, Inc | Family Medicine | Current |
Accepting new patients |
| Henry County Medical Center | Current |
Accepting new patients | |
| Lexington Hospital Corporation | Past | Accepting new patients |
Locations
2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777
190 W Main St
Camden, TN 38320
Phone (731) 213-2662
5001 E Main St
Erin, TN 37061
Phone (336) 944-6420
270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133
200 W Church St
Lexington, TN 38351
Phone (731) 968-1812
2718 Squirrel Hollow Dr
Linden, TN 37096
Phone (931) 587-2121
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/henders-823c208a
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3033 | TN | |
| Medical Physician Assistant | 363AM0700X | 3033 | TN | |
| Physician Assistant | 363A00000X | 3033 | TN | Yes |
Addresses
Primary practice location
190 W Main St
Camden, TN 38320-1609
Mailing address
177 Westview St
Camden, TN 38320-1319
Phone (731) 441-2825
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3380640 | Medicaid | TN | |
| Q022617 | Medicaid | TN |
Other providers in Camden, TN
- Ken D. Berry
- Big Rock Eye Care PLLC
- Shelly Denise Birdwell
- Michael Eugene Bogard
- Susan Brewer
- Jordan Brown
- Jacqueline Rosenjack Burchum
- Camden Eye Care Associates
- Camden General Hospital
- Camden General Hospital
All providers in Camden, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.