Individual provider Active NPI

John Fasig III, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brentwood, TN
National Provider Identifier
1104973080
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
43243 Issued in TN
Practice address
5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone
(615) 221-4474
Fax
(615) 234-3774
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 43243 TN Primary

Addresses

Primary practice location

5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541

Mailing address

5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone (615) 221-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, AL, MS, GA, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20081014000572 TN Practitioner - Pathology 4587732862 Reassigns benefits to 1 organization
I20120121000080 KY Practitioner - Pathology 4587732862 Reassigns benefits to 1 organization
I20210528001153 AL Practitioner - Pathology 4587732862 Reassigns benefits to 1 organization
I20211215000778 MS Practitioner - Pathology 4587732862 Reassigns benefits to 1 organization
I20241021000505 GA Practitioner - Pathology 4587732862 Reassigns benefits to 1 organization
I20251014001329 TX Practitioner - Pathology 4587732862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1000

1201 Bishop St
Union City, TN 38261-5403
Phone (615) 221-4400

1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (615) 221-4400

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (615) 221-4400

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (615) 221-4400

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (615) 221-4400

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (615) 221-4400

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1329

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43243TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2010 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

658 Grassmere Park
Nashville, TN 37211
Phone (866) 941-8398

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

10425 Huffmeister Rd
Ste 100
Houston, TX 77065
Phone (281) 640-7373

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1104973080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277541",
            "telephone_number": "615-221-4474",
            "fax_number": "615-234-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY",
            "address_2": "SUITE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277541",
            "telephone_number": "615-221-4474",
            "fax_number": "615-234-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASIG",
        "first_name": "JOHN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "43243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.