Individual provider Active NPI

Antonio Drew Schefano, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Gallatin, TN
National Provider Identifier
1700509353
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
555 Hartsville Pike
Gallatin, TN 37066-2400
Phone
(615) 328-6086
NPI assigned
Sep 20, 2022
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 TN
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

555 Hartsville Pike
Gallatin, TN 37066-2400

Mailing address

10294 Fielding Rd
Ooltewah, TN 37363-6404
Phone (423) 320-4104

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
I20221111000009 TN Practitioner - Physician Assistant 9537536115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

179 Hancock St
Suite 404
Gallatin, TN 37066-6347
Phone (615) 328-3740

225 Big Station Camp Blvd
Gallatin, TN 37066-8466

300 Steam Plant Rd
Gallatin, TN 37066-3089

555 Hartsville Pike
Gallatin, TN 37066-2400
Phone (615) 328-8888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5174TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Nov 13, 2022 Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

Interoperability endpoints

  • Direct secure messaging: antonio.schefano.1@19363.direct.athenahealth.com

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.

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1700509353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10294 FIELDING RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636404",
            "telephone_number": "423-320-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662400",
            "telephone_number": "615-328-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFANO",
        "first_name": "ANTONIO",
        "middle_name": "DREW",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.