Dustin Ty Stuart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3834 Issued in TN

Practice address

776 Weatherly Dr Ste B
Clarksville, TN 37043-8922

Phone

(615) 941-8501

Fax

(615) 941-8102

NPI assigned

Dec 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dustin.stuart@ahp.eclinicaldirectplus.com

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.

• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging PC

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD

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

• West Tennessee Healthcare Henry County

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1245576180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 WEATHERLY DR STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438922",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Joel Drive",
            "address_2": "Blanchfield Army Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "42223",
            "country_code": "US",
            "telephone_number": "270-798-8106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1547 Warrior Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371280922",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 Westgate Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278587",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 State St Ste C",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031869",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 20th Ave N Ste 600",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032143",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 New Shackle Island Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752312",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 W Caldwell St Ste 200",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223179",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370133130",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 S Willow Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014222",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Steam Plant Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663375",
            "country_code": "US",
            "telephone_number": "615-941-8501",
            "fax_number": "615-941-8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "DUSTIN",
        "middle_name": "TY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Faye Strickland, LPC/MHSP
• Christina Stringfield, APRN
• Vance Darlene Stroman, FNP
• Tiffany Stroupe
• Christine Stuart
• Lynn Alice Stuck
• Tina Stuhr
• Zoe Stumbaugh
• Amy Sturdivant
• Patience Love Sturtz

• Physician Assistant in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.