Individual provider Active NPI

Patrick Alan Stansbury, PHYSICIAN ASST.-CERT

  • Medical Physician Assistant
  • Nashville, TN
National Provider Identifier
1942321260
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
521 Issued in TN
Practice address
24 White Bridge Rd
Nashville, TN 37205-1411
Phone
(615) 352-0011
Fax
(615) 352-1752
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 521 TN Primary

Addresses

Primary practice location

24 White Bridge Rd
Nashville, TN 37205-1411

Mailing address

24 White Bridge Rd
Nashville, TN 37205-1411
Phone (615) 352-0011

Other identifiers 1

IdentifierTypeStateIssuer
TN#521OtherTNMEDICAL LISCENSE- PA-C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
521TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 3, 2017 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 3, 2017 Accepting new patients
Seven Springs Orthopaedics, PC CurrentSince Oct 1, 2018 Accepting new patients

Locations

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

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

2400 Patterson St
Ste 319
Nashville, TN 37203

345 23rd Ave N
Ste 320
Nashville, TN 37203
Phone (615) 963-9200

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

24 White Bridge Pike
Nashville, TN 37205
Phone (615) 352-0011

Organizations & group practices 3

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942321260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WHITE BRIDGE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051411",
            "telephone_number": "615-352-0011",
            "fax_number": "615-352-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WHITE BRIDGE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051411",
            "telephone_number": "615-352-0011",
            "fax_number": "615-352-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "PATRICK",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASST.-CERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE- PA-C",
            "identifier": "TN#521",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.