NPIMap

Individual provider Active NPI

Paul J. Leavitt, M.D.

  • Family Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1578615522
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000038410 Issued in TN
Practice address
353 New Shackle Island Rd Ste 140C
Hendersonville, TN 37075-2366
Phone
(615) 826-5664
Fax
(615) 826-5665
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000038410 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 140C
Hendersonville, TN 37075-2366

Mailing address

353 New Shackle Island Rd Ste 140C
Hendersonville, TN 37075-2366
Phone (615) 826-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000231 TN Practitioner - Family Practice 6800861832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

353 New Shackle Island Rd
140C
Hendersonville, TN 37075-2366
Phone (615) 826-5664

Hospital & facility affiliations

  • NHC Homecare Springfield Home health agency, Springfield, TN, CCN 447276
  • Beacon Home Health Home health agency, Goodlettsville, TN, CCN 447558
  • Suncrest Home Health Home health agency, Nashville, TN, CCN 447403
  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Centerwell Home Health Home health agency, Lebanon, TN, CCN 447191
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as individual
Quality
70.95
Promoting interoperability
95
Improvement activities
40
Cost
84.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000038410TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Family Medicine, PLLC Family Medicine CurrentSince Jan 29, 2008 Accepting new patients
Millbrook Medical Center Family Medicine Past Accepting new patients
Radnor Medical Group, Inc. Family Medicine Past Accepting new patients

Locations

353 New Shackle Island Rd
Ste 103A
Hendersonville, TN 37075
Phone (615) 824-7200

353 New Shackle Island Rd
Ste 140C
Hendersonvlle, TN 37075
Phone (615) 822-2214

Interoperability endpoints

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

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1578615522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 140C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752366",
            "telephone_number": "615-826-5664",
            "fax_number": "615-826-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 140C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752366",
            "telephone_number": "615-826-5664",
            "fax_number": "615-826-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "PAUL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000038410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.