Individual provider Active NPI

Timothy D Schorkopf

  • Physician Assistant
  • Brentwood, TN
National Provider Identifier
1790370286
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4449 Issued in TN
Practice address
5511 Virginia Way
Ste 300
Brentwood, TN 37027-7611
Phone
(615) 994-1000
Fax
(615) 994-0100
NPI assigned
Mar 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 110009747 VA
Physician Assistant 363A00000X 4449 TN Primary

Addresses

Primary practice location

5511 Virginia Way
Ste 300
Brentwood, TN 37027-7611

Mailing address

5511 Virginia Way
Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Other practice location 1

217 Sloan Rd
Nashville, TN 37209-4612
Phone (615) 519-3146

Other practice location 2

2600 Lebanon Pike
Nashville, TN 37214
Phone (615) 994-9000

Other practice location 3

249 Central Park Avenue
Suite 300-161
Virginia Beach, VA 23462-3099
Phone (615) 994-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220221001532 TN Practitioner - Physician Assistant 5395139190
I20240314002377 VA Practitioner - Physician Assistant 5395139190

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4449TNMDPhysician Assistant
110009747VAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1790370286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 VIRGINIA WAY",
            "address_2": "STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277611",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 VIRGINIA WAY",
            "address_2": "STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277611",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Sloan Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372094612",
            "country_code": "US",
            "telephone_number": "615-519-3146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Lebanon Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37214",
            "country_code": "US",
            "telephone_number": "615-994-9000",
            "fax_number": "615-994-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Central Park Avenue",
            "address_2": "Suite 300-161",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623099",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHORKOPF",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "110009747",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.