Individual provider Active NPI

Joseph Edwin Lindahl, PA-C

  • Medical Physician Assistant
  • Mt Juliet, TN
National Provider Identifier
1619945508
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0491 Issued in TN
Practice address
5000 Crossings Cir
Suite 101
Mt Juliet, TN 37122-8592
Phone
(615) 758-1010
Fax
(615) 758-3875
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0491 TN Primary

Addresses

Primary practice location

5000 Crossings Cir
Suite 101
Mt Juliet, TN 37122-8592

Mailing address

5000 Crossings Cir
Suite 101
Mt Juliet, TN 37122-8592
Phone (615) 758-1010

Other identifiers 2

IdentifierTypeStateIssuer
1007128OtherNCCPA NUMBER
3666495OtherTNMEDICARE ID

Other names 1

  • Joseph Edwin Lindahl Professional name

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
I20050308000873 TN Practitioner - Physician Assistant 0143274654 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
491TNMDSpecialist
0491TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Springs Orthopaedics, PC CurrentSince Nov 1, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 7, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 7, 2021 Accepting new patients

Locations

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619945508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR",
            "address_2": "SUITE 101",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228592",
            "telephone_number": "615-758-1010",
            "fax_number": "615-758-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR",
            "address_2": "SUITE 101",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228592",
            "telephone_number": "615-758-1010",
            "fax_number": "615-758-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAHL",
        "first_name": "JOSEPH",
        "middle_name": "EDWIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "0491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA NUMBER",
            "identifier": "1007128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "3666495",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "LINDAHL",
            "middle_name": "EDWIN",
            "credential": "P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.