Active NPI
Thomas T Alleva, PA-C
- Medical Physician Assistant
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3030
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 541-5000
- NPI assigned
- May 18, 2016
- Last updated
- Jun 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3030 | TN | Primary |
| Emergency Medicine Physician | 207P00000X | 3030 | TN | |
| Family Medicine Physician | 207Q00000X | 3030 | TN | |
| Internal Medicine Physician | 207R00000X | 3030 | TN | |
| Pediatrics Physician | 208000000X | 3030 | TN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 3030 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 3030 | TN | |
| Surgery Physician | 208600000X | 3030 | TN |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Church St
Lexington, TN 38351-2038
Phone (731) 968-3646
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3030 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shamrock Community Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Lexington Hospital Corporation | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Family Medicine | Current | Accepting new patients |
| Haywood County Community Hospital Inc | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Lexington Clinic Corp | Emergency Medicine | Current | Accepting new patients |
| Shamrock Community Hospital Inc. | Current | Accepting new patients | |
| Lexington Hospital Corporation | Past | Accepting new patients | |
| Lexington Hospital Corporation | Past | Accepting new patients | |
| Lexington Hospital Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777
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
2718 Squirrel Hollow Dr
Linden, TN 37096
Phone (931) 587-2121
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/henders-823c208a
Organizations & group practices 17
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
- Spring Hill, TN
- NPI 1134452865
-
dba Shamrock Community Hospital Medical Group
- Family Medicine Physician
- Erin, TN
- NPI 1033878277
Emergency Medicine
-
- Emergency Medicine Physician
- Jackson, TN
- NPI 1538345855
-
- Emergency Medicine Physician
- Brownsville, TN
- NPI 1790444933
-
- Family Medicine Physician
- Lexington, TN
- NPI 1265660708
-
- Emergency Medicine Physician
- Lexington, TN
- NPI 1083809669
-
- Critical Access Hospital
- Linden, TN
- NPI 1528890480
-
dba Houston County Community Hospital
- Critical Access Hospital
- Erin, TN
- NPI 1811566540
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Medicare Defined Swing Bed Hospital Unit
- Brownsville, TN
- NPI 1174233225
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henderson County Community Hospital
- General Acute Care Hospital
- Lexington, TN
- NPI 1255302923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1699122879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-541-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-541-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEVA",
"first_name": "THOMAS",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-18",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "3030",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "3030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.