Individual provider Active NPI

Joseph Seth Weathersby, PA

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1881626778
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1013 Issued in TN
Practice address
400 N. Highland Ave.
Middle Tennessee Medical Center
Murfreesboro, TN 37130
Phone
(800) 251-2014
Fax
(615) 284-3854
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1013 TN Primary

Addresses

Primary practice location

400 N. Highland Ave.
Middle Tennessee Medical Center
Murfreesboro, TN 37130

Mailing address

One Vantage Way
Suite B240 Middle Tennessee Emergency Physicians, PC
Nashville, TN 37228-1562
Phone (615) 329-4020

Other practice location 1

1636 New Salem Hwy Ste D
Murfreesboro, TN 37128-7038
Phone (615) 900-1176

Other practice location 2

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone (615) 225-2070

Other practice location 3

1508 Carl Adams Dr Ste 400
Murfreesboro, TN 37129-4375
Phone (615) 894-0990

Other practice location 4

5607 Franklin Rd Ste A1
Murfreesboro, TN 37128-3547
Phone (615) 962-7727

Other practice location 5

3266 Memorial Blvd Ste F
Murfreesboro, TN 37129-5484
Phone (615) 900-3515

Other practice location 6

3400 S Church St Ste B
Murfreesboro, TN 37127-7218
Phone (615) 639-5515

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
I20050405000710 TN Practitioner - Physician Assistant 3274580964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Healthcare, PCGroup PAC ID 7416228366, 13 clinicians
Gateway Primary Care LLCGroup PAC ID 6204299274, 2 clinicians

Practice addresses (Care Compare)

1574 Medical Ctr Pkwy
Suite 104
Murfreesboro, TN 37129-3761
Phone (615) 225-2070

1636 New Salem Hwy
Suite D
Murfreesboro, TN 37128-7038
Phone (615) 225-2070

3400 S Church St
Suite B
Murfreesboro, TN 37127-7218
Phone (615) 639-5515

5607 Franklin Rd
Suite A1
Murfreesboro, TN 37128-3547
Phone (615) 894-0990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Associates PLLC PastSince Jan 3, 2016 Accepting new patients
Emedical Group Inc Past Accepting new patients
Synergy Health Systems, PLLC Past Accepting new patients

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1881626778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VANTAGE WAY",
            "address_2": "SUITE B240 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281562",
            "telephone_number": "615-329-4020",
            "fax_number": "615-329-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. HIGHLAND AVE.",
            "address_2": "MIDDLE TENNESSEE MEDICAL CENTER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "800-251-2014",
            "fax_number": "615-284-3854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 New Salem Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287038",
            "country_code": "US",
            "telephone_number": "615-900-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1574 Medical Center Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293761",
            "country_code": "US",
            "telephone_number": "615-225-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 Carl Adams Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371294375",
            "country_code": "US",
            "telephone_number": "615-894-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3266 Memorial Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371295484",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371277218",
            "country_code": "US",
            "telephone_number": "615-639-5515",
            "fax_number": "615-639-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "JOSEPH",
        "middle_name": "SETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.