Healthcare Provider Details

I. General information

NPI: 1396662177
Provider Name (Legal Business Name): HUNTER RICHARDSON II PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING PIKE STE 1005
NASHVILLE TN
37205-2013
US

IV. Provider business mailing address

1701 HIGHWAY A1A STE 300
VERO BEACH FL
32963-2263
US

V. Phone/Fax

Practice location:
  • Phone: 615-964-5823
  • Fax: 615-577-1696
Mailing address:
  • Phone: 561-320-0996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7156
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: