Active NPI
Michael S Overfelt, PAC
- Medical Physician Assistant
- Spring Hill, TN
National Provider Identifier
1871650424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA0000151
- Practice address
- 5073 Main St Ste 100
Spring Hill, TN 37174-2738 - Phone
- (615) 302-0885
- Fax
- (615) 891-5003
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PA151 | TN | |
| Medical Physician Assistant | 363AM0700X | PA0000151 | TN | Primary |
Addresses
Primary practice location
5073 Main St Ste 100
Spring Hill, TN 37174-2738
Mailing address
1195 Old Hickory Blvd Ste 101
Brentwood, TN 37027-4239
Phone (615) 818-9888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T06853A | Other | TN | MEDICARE |
| Q008173 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA151 | TN | MD | Physical Medicine & Rehabilitation Physician |
| PA0000151 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aj Medical Services, Inc | Past | Accepting new patients | |
| Center for Spine Joint and Neuromuscular Rehab PC | Past | Accepting new patients | |
| Franklin Family Care Clinic PLLC | Past | Accepting new patients | |
| Center for Spine, Joint & Neuromuscular Rehabilitation | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHJBDD
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Franklin, TN
- NPI 1346457710
-
- Family Medicine Physician
- Lewisburg, TN
- NPI 1588720197
-
- Specialist
- Murfreesboro, TN
- NPI 1437496577
-
- Physical Medicine & Rehabilitation Physician
- Mt. Juliet, TN
- NPI 1639102650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1871650424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 OLD HICKORY BLVD STE 101",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274239",
"telephone_number": "615-818-9888",
"fax_number": "615-891-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5073 MAIN ST STE 100",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742738",
"telephone_number": "615-302-0885",
"fax_number": "615-891-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERFELT",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "PA151",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "PA0000151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "T06853A",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008173",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.