Individual provider Active NPI

Theron J. Rice III, PA-C

  • Physician Assistant
  • Springfield, TN
National Provider Identifier
1437339884
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1555 Issued in TN
Practice address
500 Northcrest Drive, Suite 521
Springfield, TN 37172-4066
Phone
(615) 391-4545
Fax
(615) 391-4546
NPI assigned
Nov 13, 2007
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1555 TN Primary

Addresses

Primary practice location

500 Northcrest Drive, Suite 521
Springfield, TN 37172-4066

Mailing address

302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386
Phone (615) 391-4545

Other practice location 1

107 Glen Oak Blvd
Suite 200
Hendersonville, TN 37075-3000
Phone (615) 822-1993

Other practice location 2

302 Old Lebanon Dirt Rd Ste 200
Hermitage, TN 37076-2391
Phone (615) 391-4545

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
I20071214000627 TN Practitioner - Physician Assistant 9133219009 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

1047 Glenbrook Way
Suite 110
Hendersonville, TN 37075-1308
Phone (615) 370-9992

330 Wallace Rd
Suite 1
Nashville, TN 37211-4986
Phone (615) 933-2009

4998 Crossings Cir
Suite 200
Mt Juliet, TN 37122-0018
Phone (615) 553-5000

707 Hwy 76
White House, TN 37188-9208
Phone (615) 581-7240

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1555TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince May 20, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince May 20, 2025 Accepting new patients
Magpie Emergency Physicians PLLC Physician Assistant Past Accepting new patients

Locations

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

707 Highway 76
White House, TN 37188
Phone (615) 581-7240

Interoperability endpoints

  • Direct secure messaging: theron.rice.1@25094.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1437339884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762386",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NORTHCREST DRIVE, SUITE 521",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371724066",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Glen Oak Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370753000",
            "country_code": "US",
            "telephone_number": "615-822-1993",
            "fax_number": "615-822-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Old Lebanon Dirt Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762391",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "THERON",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

Verify at the official NPI Registry.