Individual provider Active NPI

Daphne Tracy Foust, PA-C

  • Medical Physician Assistant
  • Paris, TN
National Provider Identifier
1699742205
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA229 Issued in TN
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
229OtherTNPA LICENSE
3380640OtherTNMEDICAID GROUP
3663231OtherTNMEDICAID
3380640OtherTNMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000725 TN Practitioner - Physician Assistant 8729031406 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1227OKMDCounselor
002837GAMDProfessional Counselor
PA229TNMDMedical Physician Assistant
2837GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Radiology Associates PA Past Accepting new patients
Professional Counseling Services of Tennessee PastSince Nov 12, 2023 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.

FacilityTypeRoleSince
Foust Medical Clinic, LLCParis, TN, CCN 883846 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.

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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.