Active NPI
John Thomas Fussell, PA-C
- Medical Physician Assistant
- Erin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5567
- Practice address
- 4891 E Main St
Erin, TN 37061-4115 - Phone
- (931) 289-4201
- Fax
- (931) 289-1947
- NPI assigned
- May 22, 2023
- Last updated
- Jun 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5567 | TN | Primary |
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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4891 E Main St
Erin, TN 37061-4115
Phone (931) 289-4201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Lexington Clinic Corp | Current | Accepting new patients | |
| Shamrock Community Hospital Inc | Past | Accepting new patients | |
| Lexington Hospital Corporation | 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 | |
| Shamrock Community Hospital Inc. | 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
200 W Church St
Lexington, TN 38351
Phone (731) 968-1812
270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133
301 W Main St
Waverly, TN 37185
Phone (931) 299-7378
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Erin, TN
- NPI 1295769552
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Family Medicine Physician
- Lexington, TN
- NPI 1780652107
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Family Medicine Physician
- Lexington, TN
- NPI 1265660708
-
dba Henderson County Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Lexington, TN
- NPI 1073584751
-
dba Henderson County Community Hospital
- General Acute Care Hospital
- Lexington, TN
- NPI 1255302923
-
dba Henderson County Medical Group
- Emergency Medicine Physician
- Lexington, TN
- NPI 1407290893
-
dba Shamrock Community Hospital Medical Group
- Family Medicine Physician
- Erin, TN
- NPI 1033878277
-
dba Houston County Community Hospital
- Critical Access Hospital
- Erin, TN
- NPI 1811566540
-
dba Houston County Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Erin, TN
- NPI 1952011520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1679265490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HUNTER LN",
"city": "ERIN",
"state": "TN",
"postal_code": "370614169",
"telephone_number": "931-289-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4891 E MAIN ST",
"city": "ERIN",
"state": "TN",
"postal_code": "370614115",
"telephone_number": "931-289-4201",
"fax_number": "931-289-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSSELL",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2025-06-09",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "5567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.