Individual provider Active NPI

Omeed Safdari, PA-C

  • Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1295553360
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6393 Issued in TN
Practice address
264 New Shackle Island Rd
Hendersonville, TN 37075-2480
Phone
(615) 824-4244
NPI assigned
Sep 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6393 TN Primary

Addresses

Primary practice location

264 New Shackle Island Rd
Hendersonville, TN 37075-2480

Mailing address

1 University Park Dr
Nashville, TN 37204-3956

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
I20250306001446 TN Practitioner - Physician Assistant 4789105768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Physicians Alliance PCGroup PAC ID 2264339597, 9 clinicians

Practice addresses (Care Compare)

264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2480
Phone (615) 824-4244

264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2481

Hospital & facility affiliations

  • NHC Homecare Springfield Home health agency, Springfield, TN, CCN 447276
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6393TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Physicians Alliance PC CurrentSince Feb 10, 2025 Accepting new patients

Locations

264 New Shackle Island Rd
Ste 107
Hendersonvlle, TN 37075
Phone (615) 824-4244

Interoperability endpoints

  • Direct secure messaging: omeed.safdari@cfptn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDCBA

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1727481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1295553360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752480",
            "telephone_number": "615-824-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDARI",
        "first_name": "OMEED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-28",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.