Pai Participant 1 LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PAI PARTICIPANT 1 LLC

Practice address

60 Marietta Rd
Chillicothe, OH 45601-9433

Phone

(859) 291-4800

NPI assigned

May 13, 2019

Last updated

Aug 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittain Brantley

Title

Acting President

Phone

(302) 300-5138

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, FL, KY, OH, TN, UT, MO, VA, VT, NH, ME, DC, MA, AL, DE15 enrollments

Enrollment records 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Colorado Springs, CO
  • NPI 1801215041

  Member Of

  NPD member

Locations (25 of 78)

Practitioners 531

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.

• Nicholas Adrian, NP-C

  • Nurse Practitioner
  • Bellbrook, OH
  • NPI 1144679937
  Medicare reassignment Care Compare group NPD
• Benito A Alvarez, MD

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
  • NPI 1902848880
  Medicare reassignment Care Compare group NPD
• Aric William Anderson, APRN-CNP

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1770280281
  Medicare reassignment Care Compare group NPD
• Julie Angel, APRN

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1730727215
  Medicare reassignment Care Compare group NPD
• Jennifer L Biddle, FNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1619380938
  Medicare reassignment Care Compare group NPD
• Eric Bletzinger, APRN

  • Family Nurse Practitioner
  • Bellbrook, OH
  • NPI 1821398777
  Medicare reassignment Care Compare group NPD
• Amy Michelle Bolen, FNP-C

  • Family Nurse Practitioner
  • Dayton, OH
  • NPI 1821441833
  Medicare reassignment Care Compare group NPD
• Abigail Elizabeth Burch, APRN

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1326622093
  Medicare reassignment Care Compare group NPD
• Jaymi Renee Butler, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
  • NPI 1962184697
  Medicare reassignment Care Compare group NPD
• Amanda Carnes, APRN, FNP-BC

  • Nurse Practitioner
  • Akron, OH
  • NPI 1992348965
  Medicare reassignment Care Compare group NPD
• Heidi Marie Christensen, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
  • NPI 1801126156
  Medicare reassignment Care Compare group NPD
• Alexander Clendenin, DO

  • Family Medicine Physician
  • Canton, OH
  • NPI 1326620576
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1093371312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639676",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639676",
            "telephone_number": "859-291-4800",
            "fax_number": "859-655-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARIETTA RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019433",
            "telephone_number": "859-291-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Couch Ave",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631225577",
            "country_code": "US",
            "telephone_number": "314-909-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 York Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047513",
            "country_code": "US",
            "telephone_number": "410-821-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13755 Golf Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339195146",
            "country_code": "US",
            "telephone_number": "239-482-2848",
            "fax_number": "239-482-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAI PARTICIPANT 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "BRITTAIN",
        "authorized_official_title_or_position": "ACTING PRESIDENT",
        "authorized_official_telephone_number": "302-300-5138"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Pack, RN BSN
• Courtney Pack
• Autumn Page
• Kaylee Page
• Pamela E Page, R.N.
• Anne Pairan
• Kathleen Joann Pallotta, M.A, LPCC
• Michael Palma, OD
• Hannah Palme, DO
• Abbey Lynne Palmer, D.C.

• Geriatric Medicine (Internal Medicine) Physician in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.