Active NPI
Daniel Sitton
- Physician Assistant
- Monterey, TN
National Provider Identifier
1235727199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4133
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4133 | TN | MD | Registered 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.
-
- Rural Health Clinic/Center
- Monterey, TN
- NPI 1497339790
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
- Manish Rana, D.D.S
- Michael A Rawdon, FNP MSN
- Restorative Minds Behavioral Health Services, PLLC
- Mark Anthony Sherfey, MD
- Daniel Evin Simpkins, LCSW
- Alyssa Smith, FNP-C
- Charles Gray Smith, MD
- Ree Rene Smith, APN, FNP-C
- State of Tennessee (Monterey-Putnam County Health Department)
- Larry Bradford Vaughn, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.