Individual provider Active NPI

Michael S Overfelt, PAC

  • Medical Physician Assistant
  • Spring Hill, TN
National Provider Identifier
1871650424
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0000151 Issued in TN
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

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T06853AOtherTNMEDICARE
Q008173MedicaidTN

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

LicenseStateTypeSpecialty
PA151TNMDPhysical Medicine & Rehabilitation Physician
PA0000151TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Oct 4, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.