Individual provider Active NPI

Ellen Katherine Meador, PA

  • Physician Assistant
  • Gallatin, TN
National Provider Identifier
1437604394
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
03135 Issued in TN
Practice address
1720 Nashville Pike Ste 100
Gallatin, TN 37066-3154
Phone
(615) 230-8601
Fax
(615) 230-8670
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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 03135 TN Primary

Addresses

Primary practice location

1720 Nashville Pike Ste 100
Gallatin, TN 37066-3154

Mailing address

1720 Nashville Pike Ste 100
Gallatin, TN 37066-3154
Phone (615) 230-8601

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
I20170223001868 TN Practitioner - Physician Assistant 2365726049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Primary Care, LLCGroup PAC ID 6305859851, 6 clinicians

Practice addresses (Care Compare)

1720 Nashville Pike
Suite 100
Gallatin, TN 37066-3154
Phone (615) 230-8601

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 325-1206

Hospital & facility affiliations

  • Beacon Home Health Home health agency, Goodlettsville, TN, CCN 447558
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03135TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Jan 11, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Jan 11, 2017 Accepting new patients
Portland Primary Care, LLC Past Accepting new patients
Sterling Primary Care Associates LLC Past Accepting new patients

Locations

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: ellen.meador@hca1.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1437604394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NASHVILLE PIKE STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663154",
            "telephone_number": "615-230-8601",
            "fax_number": "615-230-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NASHVILLE PIKE STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663154",
            "telephone_number": "615-230-8601",
            "fax_number": "615-230-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "ELLEN",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "03135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.