Individual provider Active NPI

Aaron G Kidd, PA-C

  • Physician Assistant
  • Clarksville, TN
National Provider Identifier
1437121688
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2155 Issued in TN
Practice address
651 Dunlop LN
Clarksville, TN 37040-5015
Phone
(931) 502-1000
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2155 TN
Pediatrics Physician 208000000X 2155 TN
Physical Medicine & Rehabilitation Physician 208100000X 2155 TN
Diagnostic Radiology Physician 2085R0202X 2155 TN
Surgery Physician 208600000X 2155 TN
Physician Assistant 363A00000X PA04951 TX
Physician Assistant 363A00000X 2155 TN Primary
Emergency Medicine Physician 207P00000X 2155 TN
Family Medicine Physician 207Q00000X 2155 TN

Addresses

Primary practice location

651 Dunlop LN
Clarksville, TN 37040-5015

Mailing address

3433 Eastover Rd
Watertown, TN 37184-4515
Phone (931) 444-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MN, IA, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140617001261 TN Practitioner - Physician Assistant 4688858194 Reassigns benefits to 3 organizations
I20250401001967 MN Practitioner - Emergency Medicine 4688858194 Reassigns benefits to 4 organizations
I20250402001989 IA Practitioner - Physician Assistant 4688858194 Reassigns benefits to 7 organizations
I20250523000898 OH Practitioner - Physician Assistant 4688858194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of Franciscan Sisters IncGroup PAC ID 0143138636, shared by 3 NPIs, 7 clinicians

Practice addresses (Care Compare)

201 8TH Ave SE
Oelwein, IA 50662-2447
Phone (319) 283-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2155TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Franciscan Sisters Inc Current Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Feb 7, 2025 Accepting new patients
Mercy Hospital of Franciscan Sisters Inc Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Hancock County Health System CurrentSince Jun 9, 2025 Accepting new patients
Mahnomen Health Center CurrentSince Feb 20, 2025 Accepting new patients
Ida County Iowa Community Hospital CurrentSince Jun 6, 2025 Accepting new patients
Hancock County Health System CurrentSince Jun 9, 2025 Accepting new patients
Ida County Iowa Community Hospital Family Medicine CurrentSince Jun 6, 2025 Accepting new patients
Madison Healthcare Services CurrentSince Mar 1, 2025 Accepting new patients
Lexington Clinic Corp Emergency Medicine Past Accepting new patients
Shamrock Community Hospital Inc Past Accepting new patients
Shamrock Community Hospital Inc. Past Accepting new patients
Trepa PA Emergency Medicine Past Accepting new patients
Shamrock Community Hospital Inc Emergency Medicine Past Accepting new patients

Locations

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

201 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-4321

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511

Interoperability endpoints

  • Direct secure messaging: akidd717889@direct.vumc.org
  • Direct secure messaging: akidd876318@direct.centracare.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1437121688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 EASTOVER RD",
            "city": "WATERTOWN",
            "state": "TN",
            "postal_code": "371844515",
            "telephone_number": "931-444-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-502-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "AARON",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2155",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "2155",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "2155",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "2155",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "2155",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04951",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2155",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2155",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.