Ariel Deann Chavis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

34020 Issued in TN

Practice address

2660 Madison St
Clarksville, TN 37043-5708

Phone

(931) 263-0581

Fax

(931) 263-0582

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL, 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Kca, PLLC

  • Specialist
  • Franklin, TN
  • NPI 1407025380
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1417661364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435708",
            "telephone_number": "931-263-0581",
            "fax_number": "931-263-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435708",
            "telephone_number": "931-263-0581",
            "fax_number": "931-263-0582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Blackhawk Dr",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "AL",
            "postal_code": "363225319",
            "country_code": "US",
            "telephone_number": "843-467-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "ARIEL",
        "middle_name": "DEANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "916915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001163",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pending",
            "affiliation": "N",
            "endpointDescription": "pending",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "133 Blackhawk Dr",
            "city": "Daleville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363225319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Chapman
• Amanda Chapman
• Charlotte K Trussell
• Joseph Chatman III
• Sarah Chavez
• Wilbert Orlando Chavis, M.D.
• David R Cheatham, D.D.S., M.S.
• Courtney Branson Cheek, LMSW
• Kara Cheek, LPC-MHSP
• Tanya Lynn Cherry

• Family Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.