JOHN THOMAS FUSSELL (PA-C) – Medical Physician Assistant, NPI 1679265490

JOHN THOMAS FUSSELL (PA-C) is a healthcare provider. based in Erin, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5567 (TN). The NPI Number for JOHN THOMAS FUSSELL (PA-C) is 1679265490

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JOHN THOMAS FUSSELL (PA-C)
NPI
1679265490
Phone
(931) 289-9189
Address
50 HUNTER LN
Enumeration Date
22 May 2023
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9312894201
Graduation Year
2023 (3 years ago)
PAC ID
7416318464
Group Practice PAC ID
0446223457
Professional Enrollment ID
I20230807003079
Address ID
TN370614115ER4891XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for JOHN THOMAS FUSSELL (PA-C)

  • 50 HUNTER LN

    ERIN, TN 370614169

    Phone: (931) 289-9189

    Type: Mailing

  • 4891 E MAIN ST

    ERIN, TN 370614115

    Phone: (931) 289-4201

    Fax: (931) 289-1947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Novo Nordisk Inc ($38).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230807003079IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87804Detection test by immunoassay with direct visual observation for influenza virus8843$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)4442$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2323$0
View full utilization report →

Insurance plans in this area (ZIP 37061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446223457View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantTN
Family Practice, Emergency MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN

Reviews

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Frequently asked questions

How do I look up JOHN THOMAS FUSSELL (PA-C) by NPI?
Use NPI 1679265490 when you need to reference JOHN THOMAS FUSSELL (PA-C) in forms, claims, or directories.
Is JOHN THOMAS FUSSELL (PA-C) active in the national directory?
JOHN THOMAS FUSSELL (PA-C)'s public NPI profile is in an active state.
Can you summarize JOHN THOMAS FUSSELL (PA-C)'s specialty in plain language?
Clinically, the directory lists JOHN THOMAS FUSSELL (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JOHN THOMAS FUSSELL (PA-C) practice in Tennessee?
You will see Erin, Tennessee on file for JOHN THOMAS FUSSELL (PA-C) alongside any extra practice locations.
How can I contact JOHN THOMAS FUSSELL (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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