Seth Lewis Coleman, PA
Individual provider Active NPI Physician Assistant · Martin, TN
NPI 1508485178 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1508485178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4635 (TN)
- Practice address
- 123 Commons Dr
Martin, TN 38237-3882 - Phone
- (731) 661-9825
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Tennessee Bone and Joint Clinic PC
Practice addresses (Care Compare)
50 Capital Ave
Jackson, TN 38305-5507
Phone (731) 661-9825
Hospital & facility affiliations
- Amedisys Home Health Care
- Adoration Home Health Martin
- Baptist Memorial Hospital Union City
- Volunteer Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211222002042 | TN | Practitioner - Physician Assistant | 0941691117 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4635 | TN | MD | Clinical Social Worker |
Interoperability endpoints
- seth.coleman.1@3533.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4635 | TN | Yes |
Addresses
Primary practice location
123 Commons Dr
Martin, TN 38237-3882
Mailing address
134 Stella Ruth Rd
Martin, TN 38237-8501
Phone (731) 571-0479
Other providers in Martin, TN
- Michael Chua
- City of Martin Tennessee
- Brandon Thomas Clapp
- Daniel Phillip Clements
- Corey B Cogburn
- Community Developmental Services, Inc
- April Marie Constantino
- Keaton Cook
- Reecea Cooper
- Allie Lee Cope
All providers in Martin, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.