Clint Devan Raymer, PA-S
Individual provider Active NPI Physician Assistant · Dresden, TN
NPI 1922648237 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1922648237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4248 (TN)
- Practice address
- 344 Morrow St
Dresden, TN 38225-1324 - Phone
- (731) 819-4891
- NPI assigned
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Medical Group, Inc.
Practice addresses (Care Compare)
1323 E Wood St
Paris, TN 38242-4421
Phone (731) 641-8751
1720 E Reelfoot Ave
Suite 104
Union City, TN 38261-6047
Phone (731) 885-8484
22700 Hwy 22
Suite a
MC Kenzie, TN 38201-8679
Phone (731) 986-7200
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
Hospital & facility affiliations
- Volunteer Home Care
- Baptist Memorial Hospital - Carroll County
- Baptist Memorial Hospital Union City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210113001169 | TN | Practitioner - Physician Assistant | 3779996699 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging PC | Current |
Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Single Specialty | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Single Specialty | Current |
Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Single Specialty | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
22700 Highway 22
Ste A
Mc Kenzie, TN 38201
Phone (731) 986-7200
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant |
363A00000X | 4248 | TN | Yes |
Addresses
Primary practice location
344 Morrow St
Dresden, TN 38225-1324
Mailing address
344 Morrow St
Dresden, TN 38225-1324
Phone (731) 819-4891
Other practice location 1
22700 Highway 22 Ste A
Mc Kenzie, TN 38201-8679
Phone (731) 986-7200
Other providers in Dresden, TN
- Optometric Center Professional Corporation
- Phyllis Beth Parrott
- Mallory Pate
- Bethany Porter
- Reba Renee' Pritchett
- Donna Lynn Reynolds
- Elizabeth A Riddle
- Douglas Keith Roach
- Tracie D. Rogers
- Sandra L. Smith
All providers in Dresden, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.