Individual provider Active NPI

Rebecca Lynn Dodd, P.A.

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1700031267
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4466 Issued in TN
Practice address
2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone
(615) 515-1900
NPI assigned
Nov 25, 2008
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 4466 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 502
Nashville, TN 37203-6511

Mailing address

2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone (615) 515-1900

Other practice location 1

3941 J St Ste 270
Sacramento, CA 95819-3633
Phone (916) 733-6850

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
I20211020002956 TN Practitioner - Physician Assistant 8527115914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1321 Huntsville Hwy
Fayetteville, TN 37334-3603
Phone (855) 632-3278

3813 Old Port Royal Rd N
Spring Hill, TN 37174-2813
Phone (931) 487-1006

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

991 Elliston Way
Thompsons Station, TN 37179-9801
Phone (615) 257-3436

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4466TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 25, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 25, 2023 Accepting new patients
River City Medical Group, Inc. PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1700031267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511",
            "telephone_number": "615-515-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511",
            "telephone_number": "615-515-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3941 J St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193633",
            "country_code": "US",
            "telephone_number": "916-733-6850",
            "fax_number": "916-733-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.