Kevin Maurice Dansby, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000001138 Issued in TN

Practice address

1060 Peerless Xing NW
Cleveland, TN 37312-3784

Phone

(423) 479-4165

NPI assigned

Jun 17, 2005

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fla9958@yourcarecommunity.org
• Direct secure messaging: kevin.dansby.1@19363.direct.athenahealth.com

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.

• Athens Physicians Practice, LLC

  • Orthopaedic Surgery Physician
  • Athens, TN
  • NPI 1689055774

  TN

  Medicare reassignment Care Compare group NPD (past)
• Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Etowah, TN
  • NPI 1508627175
  Care Compare group NPD
• Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1629097738
  Care Compare group NPD (past)
• Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Charleston, TN
  • NPI 1255113486
  NPD
• Athens Physicians Practice LLC

  • Family Medicine Physician
  • Athens, TN
  • NPI 1073532123
  NPD (past)

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

• Athens Regional Medical Center LLC

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1376548040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123784",
            "telephone_number": "423-479-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSBY",
        "first_name": "KEVIN",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000001138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4092111",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Lee Dahlin, PA-C
• Aubrey Daigle
• Nalini K Damshala, MD
• Brianna Daniel
• Kimberly Renee Daniel, FNP-C
• Joanna S Dau
• Elizabeth Daubner, MD
• Michael Alan Daubner, M.D.
• Carter Davenport
• David McCoy DDS PC

• All providers in Cleveland, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.