Individual provider Active NPI

Caitlyn Hopkins Ahearn, PA-C

  • Medical Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1710458195
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4584 Issued in TN
Practice address
2723 New Salem Hwy
Murfreesboro, TN 37128-5253
Phone
(615) 410-9360
Fax
(833) 944-2291
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 5601008924 MI
Medical Physician Assistant 363AM0700X 4584 TN Primary

Addresses

Primary practice location

2723 New Salem Hwy
Murfreesboro, TN 37128-5253

Mailing address

2723 New Salem Hwy
Murfreesboro, TN 37128-5253
Phone (615) 410-9360

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
I20221114002817 TN Practitioner - Physician Assistant 7416294608 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
Telehealth
Offers telehealth services
Group practices
Sleep Centers of Middle Tennessee LLCGroup PAC ID 2466412457, 14 clinicians

Practice addresses (Care Compare)

1508 Carl Adams Dr
Suite 200
Murfreesboro, TN 37129-4375
Phone 6158934896178

2222 State St
Suite D
Nashville, TN 37203-1869
Phone (615) 893-4896

3326 Aspen Grove Dr
Suite 260
Franklin, TN 37067-2866
Phone 6158934896178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4584TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Oct 24, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 24, 2022 Accepting new patients

Locations

1725 Medical Center Pkwy
Ste 220
Murfreesboro, TN 37129
Phone (615) 217-0259

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Interoperability endpoints

  • Direct secure messaging: caitlyn.hopkins.ahearn.1@7654.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1710458195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 NEW SALEM HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285253",
            "telephone_number": "615-410-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 NEW SALEM HWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285253",
            "telephone_number": "615-410-9360",
            "fax_number": "833-944-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS AHEARN",
        "first_name": "CAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008924",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.