Simon Bessette, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3808 Issued in TN

Practice address

421 Old Riceville Rd Ste 2
Athens, TN 37303-3074

Phone

(423) 744-8755

Fax

(423) 744-8568

NPI assigned

Feb 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: simon.bessette@covpeds.directbygreenway.com

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.

• Covenant Pediatrics, PLLC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1659670412
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1942767264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "423-744-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "423-744-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSETTE",
        "first_name": "SIMON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE TO PRACTICE",
            "identifier": "3808",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION NUMBER",
            "identifier": "1161064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clair L. Bello III, DPM
• Benchmark Healthcare Services LLC
• Daniel Asberry Benson, DPT
• Berry Family Care
• Timothy Bryan Berry, MD
• Kathy K. Bessom, CCC-SLP
• Eteri Bibileishvili, M.D.
• Lindsey Elizabeth Bible, MS, CCC-SLP
• Mark C Bigley, LCSW
• Bio-Medical Applications of Tennessee, Inc.

• Physician Assistant in Athens, TN
• Providers in Athens, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.