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MR. TERRANCE R HARTSOCK PA-C
NPI 1104956028
Physician Assistant - Medical in Fort Campbell, KY

Active since March 07, 2007
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 956-0650 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Dec 14, 2018 (2 updates tracked since 2018).

About Mr. Terrance R Hartsock Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TERRANCE R HARTSOCK PA-C (NPI 1104956028) is an individual medical provider in Fort Campbell, Kentucky, licensed in Tennessee (716) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104956028
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TERRANCE R HARTSOCKCredential: PA-C
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing AddressPo Box 1226Franklin, TN 37065-1226 · (615) 591-2732 · Fax (615) 591-2779
Phone(270) 956-0650
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1104956028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · 716
650 JOEL DR, Fort Campbell, KY 42223
Open in Google Maps ↗

Other Identifiers 4

Medicaid36669332TN
OtherPA716TN · State License
Other4166977TN · Bc/bs Tn - Cumberland Back Pain Clinic, P.c.
Other1104956028TN · United Healthcare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terrance Hartsock's NPI number?

The NPI number for Terrance Hartsock is 1104956028. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Terrance Hartsock located?

Terrance Hartsock practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 956-0650.

What is Terrance Hartsock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Terrance Hartsock was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.