Individual provider Active NPI

Robinson O'Hara-Rodriguez

  • Medical Physician Assistant
  • Clarksville, TN
National Provider Identifier
1649710666
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3179 Issued in TN
Practice address
236 Uffelman Dr
Clarksville, TN 37043-6566
Phone
(931) 647-6305
Fax
(931) 245-1153
NPI assigned
Feb 24, 2017
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3179 TN
Medical Physician Assistant 363AM0700X 3179 TN Primary

Addresses

Primary practice location

236 Uffelman Dr
Clarksville, TN 37043-6566

Mailing address

803 River Run
Clarksville, TN 37043-6042
Phone (305) 720-6210

Other practice location 1

4053 Nolensville Pike
Nashville, TN 37211-4547
Phone (615) 627-1282

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
I20171023001562 TN Practitioner - Physician Assistant 0547536328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Family Practice, PCGroup PAC ID 6305839093, 15 clinicians

Practice addresses (Care Compare)

21 W Roby Dr
Erin, TN 37061-6113
Phone (931) 289-2450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3179TNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: robinson.o.hara-rodriguez.1@18155.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1649710666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RIVER RUN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436042",
            "telephone_number": "305-720-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 UFFELMAN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436566",
            "telephone_number": "931-647-6305",
            "fax_number": "931-245-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4053 Nolensville Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114547",
            "country_code": "US",
            "telephone_number": "615-627-1282",
            "fax_number": "615-627-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARA-RODRIGUEZ",
        "first_name": "ROBINSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3179",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.