Individual provider Active NPI

Lauren Paige Van Pelt, PA-C

  • Surgical Physician Assistant
  • Gallatin, TN
National Provider Identifier
1295461671
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5648 Issued in TN
Practice address
179 Hancock St Ste 404
Gallatin, TN 37066-6347
Phone
(615) 328-3740
Fax
(615) 328-3749
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5648 TN Primary

Addresses

Primary practice location

179 Hancock St Ste 404
Gallatin, TN 37066-6347

Mailing address

179 Hancock St Ste 404
Gallatin, TN 37066-6347
Phone (615) 328-3740

Other names 1

  • Lauren Smith Former name

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
I20230921004214 TN Practitioner - Physician Assistant 8729432976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

109 River St
Hartsville, TN 37074-1707
Phone (615) 866-1152

133 Hospital Dr
Suite 500
Carthage, TN 37030-4020
Phone (615) 735-0700

179 Hancock St
Suite 404
Gallatin, TN 37066-6347
Phone (615) 328-3740

225 Big Station Camp Blvd
Gallatin, TN 37066-8466

Hospital & facility affiliations

  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Highpoint Health-Riverview With Ascension Saint TH Hospital, Carthage, TN, CCN 441307
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5648TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Oct 19, 2023 Accepting new patients
Sumner Physician Practices LLC CurrentSince Oct 19, 2023 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2022 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

133 Hospital Dr
Ste 500
Carthage, TN 37030
Phone (615) 735-0700

179 Hancock St
Ste 404
Gallatin, TN 37066
Phone (615) 328-3740

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

109 River St
Hartsville, TN 37074
Phone (615) 866-1152

Interoperability endpoints

  • Direct secure messaging: lauren.van.pelt.1@19363.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1295461671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HANCOCK ST STE 404",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666347",
            "telephone_number": "615-328-3740",
            "fax_number": "615-328-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HANCOCK ST STE 404",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666347",
            "telephone_number": "615-328-3740",
            "fax_number": "615-328-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "LAUREN",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.