Individual provider Active NPI

David John Welbourn, PA

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1548701469
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000003097 Issued in TN
Practice address
941 Sharpe Ave
Nashville, TN 37206-3454
Phone
(615) 294-5251
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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 PA0000003097 TN Primary

Addresses

Primary practice location

941 Sharpe Ave
Nashville, TN 37206-3454

Mailing address

941 Sharpe Ave
Nashville, TN 37206-3454
Phone (615) 294-5251

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
I20181103000068 TN Practitioner - Physician Assistant 2567715857 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0000003097TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trustpoint Hospital LLC CurrentSince Jul 25, 2018 Accepting new patients
Trustpoint Hospital LLC CurrentSince Jul 25, 2018 Accepting new patients
Lindsay Keith MD PLLC PastSince May 5, 2023 Accepting new patients

Locations

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIBDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1548701469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SHARPE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063454",
            "telephone_number": "615-294-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SHARPE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063454",
            "telephone_number": "615-294-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBOURN",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000003097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.