Individual provider Active NPI

Maranda Rains Vecchio, PA

  • Physician Assistant
  • Woodbury, TN
National Provider Identifier
1184457418
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6194 Issued in TN
Practice address
345 Lake Anne Rd
Woodbury, TN 37190-5723
Phone
(615) 653-7002
NPI assigned
Aug 22, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6194 TN Primary

Addresses

Primary practice location

345 Lake Anne Rd
Woodbury, TN 37190-5723

Mailing address

345 Lake Anne Rd
Woodbury, TN 37190-5723
Phone (615) 653-7002

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
I20241217001444 TN Practitioner - Physician Assistant 5294262127 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Rutherford Intensivist Group PCGroup PAC ID 9335678218, 20 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (675) 396-4100

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

829 W Main St
Woodbury, TN 37190-1032
Phone (931) 253-1110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6194TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Medical Clinic, P.a. CurrentSince Dec 15, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 3, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 3, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Feb 15, 2026 Accepting new patients
Murfreesboro Medical Clinic, P.a. CurrentSince Dec 15, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

931 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 259-4144

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

1800 Medical Center Pkwy
Ste 400
Murfreesboro, TN 37129
Phone (615) 396-6800

1800 Medical Center Pkwy
Ste 410
Murfreesboro, TN 37129
Phone (615) 396-6800

910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304

600 N Jackson St
Tullahoma, TN 37388
Phone (931) 563-5469

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1184457418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LAKE ANNE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371905723",
            "telephone_number": "615-653-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 LAKE ANNE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371905723",
            "telephone_number": "615-653-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIO",
        "first_name": "MARANDA",
        "middle_name": "RAINS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

Verify at the official NPI Registry.