Zachary Pollock, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3973 Issued in TN

Practice address

2690 Madison St Ste 130
Clarksville, TN 37043-6185

Phone

(931) 245-1701

Fax

(931) 245-1720

NPI assigned

Oct 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2019

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

• Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.pollock@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

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

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

  • Sports Medicine (Family Medicine) Physician
  • Clarksville, TN
  • NPI 1588941942
  NPD (past)

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

• HCA Health Services of Tennessee, Inc.

  dba TriStar StoneCrest Medical Center

  • General Acute Care Hospital
  • Smyrna, TN
  • NPI 1992776405
  Care Compare affiliation

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1295379568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 MADISON ST STE 130",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436185",
            "telephone_number": "931-245-1701",
            "fax_number": "931-245-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 MADISON ST STE 130",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436185",
            "telephone_number": "931-245-1701",
            "fax_number": "931-245-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ZACHARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "3973",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Pokrywczynski, MA
• Samuel Andrew Polek, M.D.
• Barbara Erika Polidura, M.S.
• Kailie Mechelle Pollard
• Alysa Marie Polley, OTD, OTR/L
• Stacie Pommer
• Rosa A Ponce
• Tori Ponce, LPN
• Julee Joan Poole, PHD
• Tabitha Pooler, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.