John Thomas Fussell, PA-C
Individual provider Active NPI Medical Physician Assistant · Erin, TN
NPI 1679265490 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1679265490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5567 (TN)
- Practice address
- 4891 E Main St
Erin, TN 37061-4115 - Phone
- (931) 289-4201
- Fax
- (931) 289-1947
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilcrest Clinic, PC
Practice addresses (Care Compare)
4891 E Main St
Erin, TN 37061-4115
Phone (931) 289-4201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807003079 | TN | Practitioner - Physician Assistant | 7416318464 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5567 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Lexington Clinic Corp | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Shamrock Community Hospital Inc | Past | Accepting new patients | |
| Shamrock Community Hospital Inc. | Past | Accepting new patients | |
| Lexington Hospital Corporation | Past | Accepting new patients | |
| Lexington Family Physicians LLC | Past | Accepting new patients | |
| Lexington Hospital Corporation | Past | Accepting new patients | |
| Shamrock Community Hospital Inc | Past | Accepting new patients | |
| Lexington Hospital Corporation | Past | Accepting new patients |
Locations
2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777
2545 N Washington Ave
Ste 2
Brownsville, TN 38012
5001 E Main St
Erin, TN 37061
Phone (336) 944-6420
270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133
200 W Church St
Lexington, TN 38351
Phone (731) 968-1812
301 W Main St
Waverly, TN 37185
Phone (931) 299-7378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5567 | TN | Yes |
Addresses
Primary practice location
4891 E Main St
Erin, TN 37061-4115
Mailing address
50 Hunter LN
Erin, TN 37061-4169
Phone (931) 289-9189
Other providers in Erin, TN
- Erin Family Medicine, PLLC
- Ess of Erin LLC
- Freds Stores of Tennessee Inc
- Frontline Staffing Agency LLC
- Ericka K Fuller
- Gateway Foot and Ankle Center, PLC
- Gateway Foot and Ankle Center, PLC
- HCC of Erin LLC
- Sarah Hedstrom
- Hilcrest Clinic, PC
All providers in Erin, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.