Individual provider Active NPI

Joshua Tyler Pannell, MD

  • Ophthalmology Physician
  • Clarksville, TN
National Provider Identifier
1629658505
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
247770 Issued in TN
Practice address
141 Chesapeake LN Ste 300
Clarksville, TN 37040-5243
Phone
(931) 552-6830
Fax
(931) 552-2847
NPI assigned
Apr 13, 2021
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 247770 TN Primary
Cornea and External Diseases Specialist Physician 207WX0120X 247770 TN

Addresses

Primary practice location

141 Chesapeake LN Ste 300
Clarksville, TN 37040-5243

Mailing address

141 Chesapeake LN Ste 300
Clarksville, TN 37040-5243
Phone (931) 552-6830

Other practice location 1

3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617002412 LA Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 2365842986

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1629658505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CHESAPEAKE LN STE 300",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405243",
            "telephone_number": "931-552-6830",
            "fax_number": "931-552-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CHESAPEAKE LN STE 300",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405243",
            "telephone_number": "931-552-6830",
            "fax_number": "931-552-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 Cumberland Blvd SE Ste 900",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303395971",
            "country_code": "US",
            "telephone_number": "404-351-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "JOSHUA",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "247770",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TN",
            "license": "247770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.