Omar Nava, P.A-C
Individual provider Active NPI Physician Assistant · Clarksville, TN
NPI 1386684348 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1386684348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1361 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group Tennessee LLC
Practice addresses (Care Compare)
1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636
Hospital & facility affiliations
- Vanderbilt Clarksville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070305000380 | TN | Practitioner - Physician Assistant | 2961467857 | Reassigns benefits to 4 organizations |
| I20071116000582 | KY | Practitioner - Physician Assistant | 2961467857 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1361 | TN | MD | Occupational Therapy Assistant |
| 16644 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Tennessee LLC | Current |
Accepting new patients | |
| Crossroads Urgent Care PLLC | Physician Assistant | Current |
Accepting new patients |
| App of Tennessee Ed, PLLC | Physician Assistant | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Physician Assistant | Current |
Accepting new patients |
| Privia Medical Group Tennessee LLC | Current |
Accepting new patients | |
| Emergency Services Network, PLLC. | Past | Accepting new patients | |
| Magpie Emergency Physicians PLLC | Physician Assistant | Past | Accepting new patients |
| Emergency Physicians of Hopkinsville 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
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
1492 Tiny Town Rd
Ste A2
Clarksville, TN 37042
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
820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027
2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
330 Wallace Rd
Ste 1
Nashville, TN 37211
Phone (615) 933-2009
1214 Gallatin Ave
Ste 105
Nashville, TN 37206
Phone (571) 982-8850
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
- omar.nava.1@25094.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1361 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00914179 | Other | TN | RAILROAD MEDICARE |
Other providers in Clarksville, TN
- Nashville Vamc
- Nashville Vamc
- Nashville Vamc
- National Vision, Inc.
- Natural Bridge Medical Group PC
- Chandrakanta D Nawathe
- Lynbeth Neal Lorey
- Kyle Neal
- Nebben Chiropractic Center
- Nebben Physical Medicine, LLC
All providers in Clarksville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.