Individual provider Active NPI

Blake John Carden, PA-C

  • Surgical Physician Assistant
  • Nashville, TN
National Provider Identifier
1073983870
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2878 Issued in TN
Practice address
2004 Hayes St Ste 650
Nashville, TN 37203-2656
Phone
(615) 321-0200
Fax
(615) 620-3266
NPI assigned
Oct 6, 2015
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X 2878 TN Primary

Addresses

Primary practice location

2004 Hayes St Ste 650
Nashville, TN 37203-2656

Mailing address

300 20TH Ave N
Ste 403
Nashville, TN 37203-5180
Phone (502) 758-4840

Other practice location 1

2025 N Mount Juliet Rd Ste 120
2025 North Mt. Juliet Road, Suite 120
Mount Juliet, TN 37122-3935
Phone (615) 773-2712 ext. 3614

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
I20160419002173 TN Practitioner - Physician Assistant 0547568867 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 13, 2017 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 13, 2017 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
Katherine W. Jones MD PLC Medical Past Accepting new patients

Locations

141 Hillcrest Dr
Clarksville, TN 37043
Phone (931) 245-8500

215 Gothic Ct
Franklin, TN 37067
Phone (615) 236-5000

501 Saundersville Rd
Hendersonville, TN 37075
Phone (615) 527-9026

5000 Crossings Cir
Ste 200A
Mt Juliet, TN 37122
Phone 61532966001901

1800 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 278-1634

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 200
Nashville, TN 37209
Phone (615) 263-0178

8 City Blvd
Ste 300
Nashville, TN 37209

Interoperability endpoints

  • Direct secure messaging: blake.carden.1@7654.direct.athenahealth.com
  • Direct secure messaging: blake.carden.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: blake.carden@879409074012164.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1073983870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "address_2": "STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "502-758-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 650",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032656",
            "telephone_number": "615-321-0200",
            "fax_number": "615-620-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 N Mount Juliet Rd Ste 120",
            "address_2": "2025 North Mt. Juliet Road, Suite 120",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371223935",
            "country_code": "US",
            "telephone_number": "615-773-2712 x3614",
            "fax_number": "615-773-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDEN",
        "first_name": "BLAKE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.