Individual provider Active NPI

Evan Wayne Hatfill, PA-C

  • Medical Physician Assistant
  • Nashville, TN
National Provider Identifier
1679175996
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4306 Issued in TN
Practice address
3520 Fair Meadows Dr
Nashville, TN 37211-7180
Phone
(615) 870-7978
NPI assigned
Nov 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 4306 TN Primary

Addresses

Primary practice location

3520 Fair Meadows Dr
Nashville, TN 37211-7180

Mailing address

3520 Fair Meadows Dr
Nashville, TN 37211-7180

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
I20210804000479 TN Practitioner - Physician Assistant 8921402504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davishire Dermatology LLCGroup PAC ID 2860870979, 7 clinicians

Practice addresses (Care Compare)

1900 Patterson St
Suite 205
Nashville, TN 37203-2165
Phone (615) 329-0341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4306TNMDSpeech-Language Pathologist

Organizations & group practices 2

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1679175996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 FAIR MEADOWS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 FAIR MEADOWS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117180",
            "telephone_number": "615-870-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFILL",
        "first_name": "EVAN",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.