Individual provider Active NPI

Daniel Sitton

  • Physician Assistant
  • Monterey, TN
National Provider Identifier
1235727199
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4133 Issued in TN
Practice address
400 W Crawford Ave Ste C
Monterey, TN 38574-1166
Phone
(931) 839-2224
Fax
(931) 839-2530
NPI assigned
Jan 6, 2021
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4133 TN Primary
Surgical Physician Assistant 363AS0400X 4133 TN
Pain Medicine Physician 208VP0000X 4133 TN

Addresses

Primary practice location

400 W Crawford Ave Ste C
Monterey, TN 38574-1166

Mailing address

PO Box 2509
Crossville, TN 38557-2509
Phone (931) 839-2224

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
I20221206000413 TN Practitioner - Physician Assistant 1759750284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4133TNMDRegistered Dietitian

Organizations & group practices 1

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1235727199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2509",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385572509",
            "telephone_number": "931-839-2224",
            "fax_number": "931-839-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CRAWFORD AVE STE C",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741166",
            "telephone_number": "931-839-2224",
            "fax_number": "931-839-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTON",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4133",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "4133",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "4133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, TN

Sources for this page

Verify at the official NPI Registry.