Active NPI
Robert W. Cummings, P.A.-C.
- Physician Assistant
- Oak Ridge, TN
National Provider Identifier
1306887971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00782
- Practice address
- 990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976 - Phone
- (865) 481-1000
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00782 | TN | Primary |
Addresses
Primary practice location
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Mailing address
PO Box 634760
Cincinnati, OH 45263-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4013052 | Other | TN | BLUE CROSS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100805000329 | TN | Practitioner - Physician Assistant | 8921131384 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetwater Hospital Association | Current | Accepting new patients | |
| Sweetwater Hospital ER Physician Group | Current | Accepting new patients | |
| Sweetwater Hospital Association | Physician Assistant | Past | Accepting new patients |
Locations
304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200
2041 Highway 411
Vonore, TN 37885
Phone (423) 884-2133
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sweet-8feb766f
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Sweetwater, TN
- NPI 1629077532
TN
-
- Rural Health Clinic/Center
- Sweetwater, TN
- NPI 1205659711
-
- Emergency Medicine Physician
- Sweetwater, TN
- NPI 1083613905
-
- Obstetrics & Gynecology Physician
- Sweetwater, TN
- NPI 1558995399
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1306887971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634760",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 OAK RIDGE TPKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306976",
"telephone_number": "865-481-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "ROBERT",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "00782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4013052",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.