Individual provider Active NPI

David Lee Driskell, PA-C

  • Physician Assistant
  • Clarksville, TN
National Provider Identifier
1386879005
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2995 Issued in TN
Practice address
141 Hillcrest Dr
Clarksville, TN 37043-5088
Phone
(931) 548-0967
NPI assigned
May 26, 2009
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 2995 TN Primary

Addresses

Primary practice location

141 Hillcrest Dr
Clarksville, TN 37043-5088

Mailing address

PO Box 9118
Minneapolis, MN 55480-9118
Phone (615) 329-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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
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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Feb 18, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Feb 18, 2022 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

  • Direct secure messaging: david.driskell.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: david.driskell.p2@direct.toa.nextgenshare.com
  • Direct secure messaging: david.driskell.p3@direct.toa.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1386879005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9118",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554809118",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435088",
            "telephone_number": "931-548-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKELL",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.