Individual provider Active NPI

Phillip Andrew Marlow, D.C., PA-C

  • Medical Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1386949022
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2544 Issued in TN
Practice address
3163 S Church St
Murfreesboro, TN 37127-7174
Phone
(615) 624-6643
NPI assigned
Jan 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2544 TN Primary

Addresses

Primary practice location

3163 S Church St
Murfreesboro, TN 37127-7174

Mailing address

3163 S Church St
Murfreesboro, TN 37127-7174
Phone (615) 624-6643

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141103001104 TN Practitioner - Physician Assistant 0547444309 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2544TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 20, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 20, 2018 Accepting new patients
Doctors Urgent Care LLC Past Accepting new patients
Cane Ridge Emergency Physicians LLC Past Accepting new patients
Horizon Chiropractic PastSince Apr 17, 2017 Accepting new patients

Locations

2401 Decherd Blvd
Winchester, TN 37398
Phone (931) 313-1388

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: pmarlow659221@direct.vumc.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1386949022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277174",
            "telephone_number": "615-624-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277174",
            "telephone_number": "615-624-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "PHILLIP",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "D.C., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.