Individual provider Active NPI

Haley Camino, PA-C

  • Physician Assistant
  • Mt Pleasant, TN
National Provider Identifier
1750036612
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4936 Issued in TN
Practice address
811 N Main St
Mt Pleasant, TN 38474-1017
Phone
(931) 379-3229
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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
Physician Assistant 363A00000X 4936 TN Primary

Addresses

Primary practice location

811 N Main St
Mt Pleasant, TN 38474-1017

Mailing address

371 Jonestown Rd
Summertown, TN 38483-7061
Phone (660) 591-5275

Other practice location 1

641 E Commerce St
Lewisburg, TN 37091-2816
Phone (931) 359-4555

Other practice location 2

3714 Belmont Blvd
Nashvile, TN 37215
Phone (615) 966-1000

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
I20220516001444 TN Practitioner - Physician Assistant 0941687867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLC 737 clinicians
Privia Medical Group Tennessee LLC 141 clinicians

Practice addresses (Care Compare)

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

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

2377 Fairview Blvd
Fairview, TN 37062-6003
Phone (615) 799-0101

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

811 N Main St
Mt Pleasant, TN 38474-1017
Phone (931) 379-3229

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

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 30, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 30, 2022 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

641 E Commerce St
Lewisburg, TN 37091
Phone (931) 359-4555

811 N Main St
Mt Pleasant, TN 38474
Phone (931) 379-3229

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

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Organizations & group practices 25

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.

View all 25

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1750036612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 JONESTOWN RD",
            "city": "SUMMERTOWN",
            "state": "TN",
            "postal_code": "384837061",
            "telephone_number": "660-591-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N MAIN ST",
            "city": "MT PLEASANT",
            "state": "TN",
            "postal_code": "384741017",
            "telephone_number": "931-379-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370912816",
            "country_code": "US",
            "telephone_number": "931-359-4555",
            "fax_number": "931-359-0105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3714 Belmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashvile",
            "state": "TN",
            "postal_code": "37215",
            "country_code": "US",
            "telephone_number": "615-966-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMINO",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TN

Sources for this page

Verify at the official NPI Registry.