Individual provider Active NPI

Starcey Megan Bacon, PA-C

  • Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1710337126
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2982 Issued in TN
Practice address
211 Indian Lake Blvd Ste C
Hendersonville, TN 37075-6214
Phone
(615) 826-3142
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2982 TN Primary

Addresses

Primary practice location

211 Indian Lake Blvd Ste C
Hendersonville, TN 37075-6214

Mailing address

211 Indian Lake Blvd Ste C
Hendersonville, TN 37075-6214
Phone (615) 826-3142

Other names 1

  • Miss Starcey Megan Care Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2982TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1710337126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD STE C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756214",
            "telephone_number": "615-826-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD STE C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756214",
            "telephone_number": "615-826-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "STARCEY",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STARCEY",
            "last_name": "CARE",
            "middle_name": "MEGAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.