Individual provider Active NPI

Charles Coleman Cassidy, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1508237116
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2862 Issued in TN
Practice address
2400 Patterson St Ste 100
Nashville, TN 37203-2385
Phone
(615) 342-0038
NPI assigned
Oct 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 2862 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 100
Nashville, TN 37203-2385

Mailing address

608 Andy Peach Dr
Murfreesboro, TN 37128-3012
Phone (615) 218-5278

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
I20170206002725 TN Practitioner - Physician Assistant 2264710458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Joint Replacement Institute LLCGroup PAC ID 1658693015, 36 clinicians

Practice addresses (Care Compare)

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

2400 Patterson St
Suite 100
Nashville, TN 37203-2385
Phone (615) 342-0038

3053 Medical Ctr Pkwy
Suite F
Murfreesboro, TN 37129-4186
Phone (615) 342-0038

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2862TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Sep 1, 2018 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Sep 1, 2018 Accepting new patients

Locations

8 City Blvd
Ste 300
Nashville, TN 37209

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

Interoperability endpoints

  • Direct secure messaging: charles.cassidy.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: charles.cassidy@hca1.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1508237116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ANDY PEACH DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283012",
            "telephone_number": "615-218-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032385",
            "telephone_number": "615-342-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CHARLES",
        "middle_name": "COLEMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-08",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.