David Lee Driskell, PA-C
Individual provider Active NPI Physician Assistant · Clarksville, TN
NPI 1386879005 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1386879005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2995 (TN)
- Practice address
- 141 Hillcrest Dr
Clarksville, TN 37043-5088 - Phone
- (931) 548-0967
- NPI assigned
- May 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, TN
- 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 |
|---|---|---|---|---|
| I20160614002597 | KY | Practitioner - Physician Assistant | 0840581229 | Reassigns benefits to 1 organization |
| I20160718001351 | TN | Practitioner - Physician Assistant | 0840581229 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current |
Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current |
Accepting new patients | |
| App of Kentucky Ed, PLLC | Physician Assistant | Past | Accepting new patients |
| Little River Emergency Physicians, PLLC | Physician Assistant | Past | Accepting new patients |
Locations
141 Hillcrest Dr
Clarksville, TN 37043
Phone (931) 245-8500
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
Interoperability endpoints
- david.driskell.p1@direct.toa.nextgenshare.com
- david.driskell.p2@direct.toa.nextgenshare.com
- david.driskell.p3@direct.toa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 2995 | TN | Yes |
Addresses
Primary practice location
141 Hillcrest Dr
Clarksville, TN 37043-5088
Mailing address
PO Box 9118
Minneapolis, MN 55480-9118
Phone (615) 329-2294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q023687 | Medicaid | TN | |
| 1087623 | Other | NCCPA |
Other providers in Clarksville, TN
- Kiara Drake
- Lashonda Drake
- Courtney Louise Dramm
- Danielle Renee Drew
- Matthew Theodore Drew
- Jana Rae Drumright
- Jincheng Du
- Suzanne Andrea Dubeck
- Jeremy Dubose
- Gloria Dudley
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 Oct 6, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.