Active NPI
Steven Henry Pack, PA
- Physician Assistant
- Lebanon, TN
National Provider Identifier
1346351194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA626
- Practice address
- 201 Signature PL Ste 103
Lebanon, TN 37087-3377 - Phone
- (615) 257-7778
- Fax
- (615) 235-3660
- NPI assigned
- Aug 31, 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 | PA626 | TN | Primary |
Addresses
Primary practice location
201 Signature PL Ste 103
Lebanon, TN 37087-3377
Mailing address
201 Signature PL Ste 103
Lebanon, TN 37087-3377
Phone (615) 257-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3662285 | Medicaid | TN |
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 |
|---|---|---|---|---|
| I20040614001371 | TN | Practitioner - Physician Assistant | 7517941065 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jantz Family Practice PLLC
Practice addresses (Care Compare)
201 Signature PL
Suite 103
Lebanon, TN 37087-3377
Phone (615) 257-7778
Hospital & facility affiliations
- Homefirst of Middle Tennessee, LLC
- Adoration Home Health, LLC
- Tristar Summit Medical Center
- Vanderbilt Wilson County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA626 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Cardiology Consultants, PC | Past | Accepting new patients | |
| Tennessee Em-I Medical Services PC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Nashville, TN
- NPI 1871607580
-
- Physician Assistant
- Lebanon, TN
- NPI 1164742300
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Madison, TN
- NPI 1790161321
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
Hospital
-
- Home Health Agency
- Nashville, TN
- NPI 1952909780
-
- General Acute Care Hospital
- Lebanon, TN
- NPI 1306889597
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1346351194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SIGNATURE PL STE 103",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873377",
"telephone_number": "615-257-7778",
"fax_number": "615-235-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SIGNATURE PL STE 103",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873377",
"telephone_number": "615-257-7778",
"fax_number": "615-235-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "STEVEN",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3662285",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.