Healthcare Provider Details

I. General information

NPI: 1275774051
Provider Name (Legal Business Name): CASEY WILLIAM SASSER FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2009
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STEAM PLANT RD STE 310
GALLATIN TN
37066-3089
US

IV. Provider business mailing address

300 STEAM PLANT RD STE 310
GALLATIN TN
37066-3089
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-9200
  • Fax: 615-451-1246
Mailing address:
  • Phone: 615-451-9200
  • Fax: 615-451-1246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number14020
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000014020
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: