Victoria Hudson Brown, PA-C
Individual provider Active NPI Physician Assistant · Springfield, TN
NPI 1548094956 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1548094956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 500 Northcrest Dr Suite 501
Springfield, TN 37172 - Phone
- (615) 382-7284
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Medical Group, PLLC
Practice addresses (Care Compare)
491 Sage Rd N
Suite 200
White House, TN 37188-9361
Phone (615) 672-7122
Hospital & facility affiliations
- NHC Homecare Springfield
- Tristar Northcrest Medical Center
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 |
|---|---|---|---|---|
| I20241102000090 | TN | Practitioner - Physician Assistant | 9335672005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Medical Group, P.a. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
500 Northcrest Dr Suite 501
Springfield, TN 37172
Mailing address
515 Madison St Apt 111
Nashville, TN 37208-1655
Phone (423) 231-5957
Other providers in Springfield, TN
- Michelle Marie Breedlove
- Sierra Dorris Bridgers
- Jeremiah Brown
- Marcos Brown
- Margaret Claire Brown
- Matthew F Browning
- Wayne Allen Browning
- Anne Marie Bryant
- James Reed Bryant III
- Mackenzie Bryson
All providers in Springfield, 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 28, 2024. 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.