Individual provider Active NPI

Heather Deeann Brown, PA-C

  • Physician Assistant
  • Bristol, TN
National Provider Identifier
1689953127
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1994 Issued in TN
Practice address
240 Medical Park Blvd Ste 2700
Bristol, TN 37620-7352
Phone
(423) 844-0501
Fax
(423) 844-0006
NPI assigned
Aug 16, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1994 TN Primary
Medical Physician Assistant 363AM0700X 1994 TN
Surgical Physician Assistant 363AS0400X 1994 TN

Addresses

Primary practice location

240 Medical Park Blvd Ste 2700
Bristol, TN 37620-7352

Mailing address

240 Medical Park Blvd Ste 2700
Bristol, TN 37620-7352
Phone (423) 844-0501

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
I20110902000335 TN Practitioner - Physician Assistant 2062682800 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Clinic of Jackson PLLCGroup PAC ID 0941594501, 6 clinicians

Practice addresses (Care Compare)

329 Coatsland Dr
Jackson, TN 38301-3912
Phone (731) 427-5581

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Physician Assistant CurrentSince Jun 1, 2023 Accepting new patients
Associated Chiropractic and Medical P.C. Past Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 623-4637

Interoperability endpoints

  • Direct secure messaging: hbrown@direct.meditouchehr.com
  • Direct secure messaging: heather.brown.1@17899.direct.athenahealth.com

Organizations & group practices 7

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1689953127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEDICAL PARK BLVD STE 2700",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207352",
            "telephone_number": "423-844-0501",
            "fax_number": "423-844-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEDICAL PARK BLVD STE 2700",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207352",
            "telephone_number": "423-844-0501",
            "fax_number": "423-844-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HEATHER",
        "middle_name": "DEEANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1994",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1994",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.