Individual provider Active NPI

Omar Nava, P.A-C

  • Physician Assistant
  • Clarksville, TN
National Provider Identifier
1386684348
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1361 Issued in TN
Practice address
651 Dunlop LN
Emergency Dept C/O Omar Nava, PA-C
Clarksville, TN 37040-5015
Phone
(931) 502-1370
NPI assigned
Jun 7, 2006
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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 1361 TN Primary

Addresses

Primary practice location

651 Dunlop LN
Emergency Dept C/O Omar Nava, PA-C
Clarksville, TN 37040-5015

Mailing address

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (615) 269-0652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070305000380 TN Practitioner - Physician Assistant 2961467857 Reassigns benefits to 4 organizations
I20071116000582 KY Practitioner - Physician Assistant 2961467857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1361TNMDAthletic Trainer
16644CAMDSpeech-Language Pathologist
TC029KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Physician Assistant CurrentSince May 2, 2014 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Apr 14, 2025 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Jun 27, 2023 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Apr 14, 2025 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Jun 27, 2023 Accepting new patients
Magpie Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Emergency Physicians of Hopkinsville PLLC Past Accepting new patients
Emergency Services Network, PLLC. Past Accepting new patients

Locations

5380 Hickory Hollow Pkwy
Ste 201
Antioch, TN 37013
Phone (615) 891-2056

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

1492 Tiny Town Rd
Ste A2
Clarksville, TN 37042

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1047 Glenbrook Way
Ste 110
Hendersonville, TN 37075
Phone (615) 943-5027

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027

1214 Gallatin Ave
Ste 105
Nashville, TN 37206
Phone (571) 982-8850

330 Wallace Rd
Ste 1
Nashville, TN 37211
Phone (615) 933-2009

1114 N Main St
Ste B
Shelbyville, TN 37160
Phone (615) 217-9821

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

707 Highway 76
White House, TN 37188
Phone (615) 581-7240

Interoperability endpoints

  • Direct secure messaging: omar.nava.1@25094.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1386684348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "615-269-0652",
            "fax_number": "615-269-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "address_2": "EMERGENCY DEPT C/O OMAR NAVA, PA-C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-502-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "OMAR",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.