Individual provider Active NPI

Travis Kyle Layne, PAC

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1902894389
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
580 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-2380
Phone
(615) 322-5000
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA580 TN
Physician Assistant 363A00000X 580 TN Primary
Physician Assistant 363A00000X 10261499-1206 UT

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-2380

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1114 N Main St Ste B
Shelbyville, TN 37160-2380
Phone (615) 347-1304

Other practice location 2

5169 S Cottonwood St Ste 400
Murray, UT 84107-6769
Phone (801) 507-3460

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tlayne891696@direct.vumc.org Direct
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, UT2 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
I20041222000253 TN Practitioner - Physician Assistant 3476511486 Reassigns benefits to 2 organizations
I20171102003550 UT Practitioner - Physician Assistant 3476511486 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA580TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince May 1, 2025 Accepting new patients
Vanderbilt University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Nov 25, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Nov 25, 2022 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

5380 Hickory Hollow Pkwy
Ste 201
Antioch, TN 37013
Phone (615) 891-2056

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

281 N Lyerly St
Ste 200
Chattanooga, TN 37404
Phone (423) 698-0850

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

1047 Glenbrook Way
Ste 110
Hendersonville, TN 37075
Phone (615) 943-5027

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447

820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027

1214 Gallatin Ave
Ste 105
Nashville, TN 37206
Phone (571) 982-8850

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

1114 N Main St
Ste B
Shelbyville, TN 37160
Phone (615) 217-9821

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

707 Highway 76
#A
White House, TN 37188

Interoperability endpoints

  • Direct secure messaging: tlayne891696@direct.vumc.org

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1902894389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322380",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1114 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371602380",
            "country_code": "US",
            "telephone_number": "615-347-1304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5169 S Cottonwood St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076769",
            "country_code": "US",
            "telephone_number": "801-507-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "TRAVIS",
        "middle_name": "KYLE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA580",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "580",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10261499-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlayne891696@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.