Individual provider Active NPI

Charlotte Anne Cornette, MHS, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1538920160
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
616 Marriott Dr
Nashville, TN 37214-5048
Phone
(629) 802-3000
NPI assigned
Jan 22, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 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 Primary

Addresses

Primary practice location

616 Marriott Dr
Nashville, TN 37214-5048

Mailing address

616 Marriott Dr
Nashville, TN 37214-5048
Phone (629) 802-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250414000911 CA Practitioner - Physician Assistant 3476077280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farhad Sigari MD Facs PCGroup PAC ID 2567635261, 3 clinicians

Practice addresses (Care Compare)

2572 Atlantic Ave
Long Beach, CA 90806-2751
Phone (818) 325-7755

4640 Admiralty Way
Suite 700
Marina del Rey, CA 90292-6620
Phone (805) 210-5491

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1538920160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MARRIOTT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145048",
            "telephone_number": "629-802-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MARRIOTT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145048",
            "telephone_number": "629-802-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETTE",
        "first_name": "CHARLOTTE",
        "middle_name": "ANNE",
        "credential": "MHS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.