Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fausta Ditah, MD

Individual provider Gastroenterology Physician · NPI 1063675692

Dr. Fausta Ditah, MD is a Gastroenterology in Clarksville, Tennessee. Qualified in 2008, 18 years ago. Practices with Clarksville Physician Services, LLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Tennessee.

Years since qualifying
18
Licensed in
PA, TN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

647 Dunlop Ln Ste 210
Clarksville, TN 37040-5165
Phone: (931) 502-3810
Fax: (931) 502-3815
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 90 Medical Park Dr Ste 1000, Lewisburg, PA 17837-6343 — (570) 524-2722

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD50497 (TN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD495288 (PA)

Record details

NPI number1063675692
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Clarksville Physician Services, Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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