Active NPI
Charles Houston Levi, PHYSICIAN ASSISTANT
- Physician Assistant
- Murfreesboro, TN
National Provider Identifier
1518018225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022
- Practice address
- 1525 S. Church
Murfreesboro, TN 37130 - Phone
- (615) 217-7236
- Fax
- (615) 217-7238
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022 | TN | Primary |
Addresses
Primary practice location
1525 S. Church
Murfreesboro, TN 37130
Mailing address
1310 Elliott Dr
Murfreesboro, TN 37129
Phone (615) 893-5323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518018225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 ELLIOTT DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37129",
"telephone_number": "615-893-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 S. CHURCH",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37130",
"telephone_number": "615-217-7236",
"fax_number": "615-217-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI",
"first_name": "CHARLES",
"middle_name": "HOUSTON",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.