Individual provider Active NPI

Angela Marie Heikes, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1962594135
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000001443 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-5253
Phone
(615) 322-3000
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0000001443 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-5253

Mailing address

719 Thompson LN Ste 30330
Nashville, TN 37204-4701

Other practice location 1

2723 New Salem Hwy
Murfreesboro, TN 37128-5253
Phone (615) 396-6850

Other identifiers 2

IdentifierTypeStateIssuer
3664825MedicaidTN
1510886MedicaidTN

Other names 1

  • Angela Byrley Other name

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
I20070124000339 TN Practitioner - Physician Assistant 5698776334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

1800 Medical Ctr Pkwy
Suite 400
Murfreesboro, TN 37129-2567
Phone (615) 284-2015

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

2723 New Salem Hwy
Murfreesboro, TN 37128-5253
Phone (615) 396-3800

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0000001443TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Nov 21, 2018 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince May 15, 2017 Accepting new patients
Saint Thomas Medical Partners CurrentSince Nov 21, 2018 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince May 15, 2017 Accepting new patients
Middle Tennessee Center for Lung Disease, PC PastSince Jun 18, 2012 Accepting new patients

Locations

650 S Jefferson Ave
Ste 101
Cookeville, TN 38501
Phone (931) 303-0958

509 Hillsboro Rd
Franklin, TN 37064
Phone (615) 472-2139

4726 Lebanon Pike
Hermitage, TN 37076
Phone (615) 475-8179

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

1800 Medical Center Pkwy
Ste 310
Murfreesboro, TN 37129
Phone (615) 849-9868

1144 Fortress Blvd
Ste K
Murfreesboro, TN 37128
Phone (615) 809-3541

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

2412 Lebanon Pike
Nashville, TN 37214
Phone (615) 647-3578

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: angela.heikes.1@7654.direct.athenahealth.com

Organizations & group practices 6

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1962594135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LN STE 30330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372325253",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2723 New Salem Hwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371285253",
            "country_code": "US",
            "telephone_number": "615-396-6850",
            "fax_number": "615-396-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIKES",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000001443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3664825",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510886",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BYRLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.