Unknown Individual – Physician Assistant, NPI 1194710418
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1047, Glenbrook Way, Hillwood, Hendersonville, Sumner County, Middle Tennessee, Tennessee, 37075, United States
SUITE 120
HENDERSONVILLE, TN 370751231
Phone: (615) 590-2020
Fax: (615) 590-2027
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $852.
Total Amount is formed as General ($852) + Research ($0) + Ownership ($0) = $852.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($406).
Total Amount
$852
General + Research + Ownership
Payments
49
Total payment records
General Amount
$852
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $406 |
| Novo Nordisk Inc | $320 |
| Janssen Pharmaceuticals, Inc | $109 |
| Teva Pharmaceuticals USA, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 31 | 31 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 37075)
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