Cameron Wayne Heady, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1441 Issued in TN

Practice address

457 Vista Dr
Sparta, TN 38583-1360

Phone

(931) 738-3383

Fax

(931) 738-8911

NPI assigned

Feb 27, 2007

Last updated

Nov 23, 2009By the provider in NPPES

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Care P.C.Group PAC ID 8729041835, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Thomas Highlands Hospital Hospital, Sparta, TN, CCN 440192
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cameron.heady@cumbfc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Family Care PC

  • Family Medicine Physician
  • Sparta, TN
  • NPI 1225003809
  Medicare reassignment Care Compare group
• Cumberland Family Care, P.C.

  dba Cumberland Family Care Diabetes Self-Management Out-Patient Program

  • Health Service Clinic/Center
  • Spencer, TN
  • NPI 1679771356
  NPD

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

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Saint Thomas Highlands Hospital, LLC

  dba Ascension Saint Thomas Highlands

  • General Acute Care Hospital
  • Sparta, TN
  • NPI 1922487966
  Care Compare affiliation

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1306973425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADY",
        "first_name": "CAMERON",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3665152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Lee Hall, LPTA
• Frances Louise Marasigan Hamilton, DDS
• Sharon Dolorann Lee Hampton
• Christi Michelle Hassler, MA, LPC-MHSP
• Waymon Haston, DDS
• James Joseph Henning II, PHARMD
• Heritage Medical Care
• Lyndsay Herron, PMHNP
• Miranda Nicole Hinds, RBT
• Harlen Duane Hobbs II, DDS

• Medical Physician Assistant in Sparta, TN
• Providers in Sparta, 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 Nov 23, 2009; 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.