Individual provider Active NPI

Robert Relic, PA-C

  • Physician Assistant
  • Brentwood, TN
National Provider Identifier
1922065556
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3044 Issued in TN
Practice address
210 Franklin Rd
Suitew 4B
Brentwood, TN 37027-3218
Phone
(615) 964-6160
Fax
(615) 964-6120
NPI assigned
Apr 27, 2006
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1530 SC
Physician Assistant 363A00000X MA003013L PA
Physician Assistant 363A00000X 3044 TN Primary

Addresses

Primary practice location

210 Franklin Rd
Suitew 4B
Brentwood, TN 37027-3218

Mailing address

101 E Ridgeview Trce
Hendersonville, TN 37075-4761
Phone (412) 638-3466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 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
I20160815001557 TN Practitioner - Physician Assistant 0749376846 Reassigns benefits to 3 organizations
I20230717002281 OH Practitioner - Physician Assistant 0749376846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

110 Saint Blaise Rd
Gallatin, TN 37066-4427
Phone (615) 590-8000

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA003013LPAMDPhysician Assistant
3044TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Apr 1, 2025 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jul 15, 2020 Accepting new patients
Partners Physician Group CurrentSince Nov 27, 2023 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Apr 1, 2025 Accepting new patients
Partners Physician Group CurrentSince Nov 27, 2023 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jul 15, 2020 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

110 Saint Blaise Rd
Ste 200
Gallatin, TN 37066

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1922065556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E RIDGEVIEW TRCE",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754761",
            "telephone_number": "412-638-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FRANKLIN RD",
            "address_2": "SUITEW 4B",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273218",
            "telephone_number": "615-964-6160",
            "fax_number": "615-964-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELIC",
        "first_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1530",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003013L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.