Lana Shoulders, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2803 Issued in TN

Practice address

301 W Main St
Waverly, TN 37185-1512

Phone

(931) 299-7378

Fax

(931) 299-7399

NPI assigned

Jul 22, 2015

Last updated

Jul 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lana Moulding Former name

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Merit-based Incentive Payment System (MIPS)

Final score

81.74 of 100Reported as group

Quality

69.38

Promoting interoperability

100

Improvement activities

40

Cost

69.73

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Skyline Medical Group LLC

  • Specialist
  • Nashville, TN
  • NPI 1336154202
  Medicare reassignment Care Compare group
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Trauma Medicine Services of TN, LLC

  • Trauma Surgery Physician
  • Nashville, TN
  • NPI 1174221055
  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

• Hti Memorial Hospital Corporation

  dba Tristar Skyline Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1669857561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON ST APT 153",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081661",
            "telephone_number": "630-649-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851512",
            "telephone_number": "931-299-7378",
            "fax_number": "931-299-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Madison St Apt 153",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372081661",
            "country_code": "US",
            "telephone_number": "630-649-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOULDERS",
        "first_name": "LANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "MOULDING",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• River Valley Eye Clinic P C
• Brenda Sue Rogerson, CCC-SLP
• Emma Rowlett
• Edwin Will Harris Scott, DMD
• Judy Darlene Sherrod, R.N.
• Small Town Medical
• State of Tennessee (Humphreys County Health Department)
• Marlynn Giles Stovall, M.D.
• Tiffany Szabo, M.S., CCC-SLP
• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #01741)

• Physician Assistant in Waverly, TN
• Providers in Waverly, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.