Individual provider Active NPI

Sioeli Fiatau Fuimaono, PA

  • Surgical Physician Assistant
  • Nashville, TN
National Provider Identifier
1912975988
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1326 Issued in TN
Practice address
2400 Patterson St
Suite 319
Nashville, TN 37203-1562
Phone
(615) 986-1256
Fax
(615) 383-0873
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1326 TN Primary
Medical Physician Assistant 363AM0700X 1326 TN

Addresses

Primary practice location

2400 Patterson St
Suite 319
Nashville, TN 37203-1562

Mailing address

2400 Patterson St
Suite 319
Nashville, TN 37203-1562
Phone (615) 986-1256

Other identifiers 2

IdentifierTypeStateIssuer
3060214MedicaidTN
4116189OtherTNBCBS

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
I20060106000741 TN Practitioner - Physician Assistant 3779506563 Reassigns benefits to 2 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
Ap of Nashville, LLCGroup PAC ID 7012206733, 20 clinicians
Centennial Surgical Clinic, LLCGroup PAC ID 6800079963, 17 clinicians

Practice addresses (Care Compare)

2000 Glen Echo Rd
Suite 111
Nashville, TN 37215-2857
Phone (615) 657-4800

2400 Patterson St
Suite 400
Nashville, TN 37203-1575
Phone (615) 342-6905

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Surgical Clinic, LLC CurrentSince Oct 12, 2025 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients
Florida Practitioners, LLC Surgical Past Accepting new patients

Locations

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

2400 Patterson St
#212
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: sioeli.fuimaono@hca1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1912975988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 319",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-986-1256",
            "fax_number": "615-383-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 319",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-986-1256",
            "fax_number": "615-383-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUIMAONO",
        "first_name": "SIOELI",
        "middle_name": "FIATAU",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1326",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060214",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4116189",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.