Active NPI
Daphne Tracy Foust, PA-C
- Medical Physician Assistant
- Paris, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA229
- Practice address
- 849 Volunteer Dr Ste 2
Paris, TN 38242-5483 - Phone
- (731) 540-7075
- Fax
- (731) 227-2887
- NPI assigned
- Mar 2, 2006
- Last updated
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA229 | TN | Primary |
| Surgical Physician Assistant | 363AS0400X | PA229 | TN |
Addresses
Primary practice location
849 Volunteer Dr Ste 2
Paris, TN 38242-5483
Mailing address
849 Volunteer Dr Ste 2
Paris, TN 38242-5483
Phone (731) 540-7075
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229 | Other | TN | PA LICENSE |
| 3380640 | Other | TN | MEDICAID GROUP |
| 3663231 | Other | TN | MEDICAID |
| 3380640 | Other | TN | MEDICARE GROUP |
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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
849 Volunteer Dr
Suite 2
Paris, TN 38242-5483
Phone (731) 540-7075
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1227 | OK | MD | Counselor |
| 002837 | GA | MD | Professional Counselor |
| PA229 | TN | MD | Medical Physician Assistant |
| 2837 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Radiology Associates PA | Past | Accepting new patients | |
| Professional Counseling Services of Tennessee | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Foust Medical Clinic, LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Operational/Managerial Control (100%) |
Jan 16, 2019 Jan 16, 2019 Jan 16, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Paris, TN
- NPI 1154895670
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Paris, TN
- NPI 1154895670
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
-
- Professional Counselor
- Paris, TN
- NPI 1720119019
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Tennessee Healthcare County Hospital
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1699742205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 VOLUNTEER DR STE 2",
"city": "PARIS",
"state": "TN",
"postal_code": "382425483",
"telephone_number": "731-540-7075",
"fax_number": "731-227-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 VOLUNTEER DR STE 2",
"city": "PARIS",
"state": "TN",
"postal_code": "382425483",
"telephone_number": "731-540-7075",
"fax_number": "731-227-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUST",
"first_name": "DAPHNE",
"middle_name": "TRACY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "PA229",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "PA229",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "229",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "3380640",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "3663231",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "3380640",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.