Individual provider Active NPI

Colt McClain, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
National Provider Identifier
1154647188
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
50564 Issued in TN
Practice address
4220 Harding Pike
Nashville, TN 37205-2005
Phone
(615) 222-3047
Fax
(615) 222-3702
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 50564 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 50564 TN Primary

Addresses

Primary practice location

4220 Harding Pike
Nashville, TN 37205-2005

Mailing address

2010 Church St
Suite 615
Nashville, TN 37203-2012
Phone (615) 284-7950

Other practice location 1

4220 Harding Pike Ste 504
Nashville, TN 37205-2005
Phone (615) 298-4100

Other identifiers 1

IdentifierTypeStateIssuer
Q014446MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714000883 TN Practitioner - Pathology 6002129582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of St ThomasGroup PAC ID 2769462845, 11 clinicians

Practice addresses (Care Compare)

4230 Harding Pike
Suite 1001
Nashville, TN 37205-2098
Phone 61529841002098

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50564TNMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of St. Thomas Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2015 Accepting new patients
Patient Centered Diagnostics PLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

4220 Harding Pike
Ste 504
Nashville, TN 37205
Phone (615) 298-4100

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

4230 Harding Pike
Ste 1001
Nashville, TN 37205
Phone (615) 298-4100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154647188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHURCH ST",
            "address_2": "SUITE 615",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032012",
            "telephone_number": "615-284-7950",
            "fax_number": "615-284-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-3047",
            "fax_number": "615-222-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Harding Pike Ste 504",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052005",
            "country_code": "US",
            "telephone_number": "615-298-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "COLT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TN",
            "license": "50564",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "50564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014446",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.