Individual provider Active NPI

Keribeth R Searcy, PA-C

  • Medical Physician Assistant
  • Mount Juliet, TN
National Provider Identifier
1003380650
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5033 Issued in CT
Practice address
145 Bear Xing Ste 100
Mount Juliet, TN 37122-4684
Phone
(865) 234-4395
Fax
(615) 899-5185
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 027442 NY
Medical Physician Assistant 363AM0700X 3802 TN
Medical Physician Assistant 363AM0700X PA8285 MA
Medical Physician Assistant 363AM0700X 5033 CT Primary

Addresses

Primary practice location

145 Bear Xing Ste 100
Mount Juliet, TN 37122-4684

Mailing address

145 Bear Xing Ste 100
Mount Juliet, TN 37122-4684
Phone (865) 234-4395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CT, MA, NY, MI, IN6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20190513001862 TN Practitioner - Physician Assistant 2264775386 Reassigns benefits to 3 organizations
I20201123001501 CT Practitioner - Physician Assistant 2264775386
I20210110000006 MA Practitioner - Physician Assistant 2264775386 Reassigns benefits to 1 organization
I20210111003032 NY Practitioner - Physician Assistant 2264775386 Reassigns benefits to 1 organization
I20260416002662 MI Practitioner - Physician Assistant 2264775386 Reassigns benefits to 1 organization
I20260521004009 IN Practitioner - Physician Assistant 2264775386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1425 Route 300
Newburgh, NY 12550-2908
Phone (845) 674-9735

145 Bear Xing
Suite 100
Mount Juliet, TN 37122-4684
Phone (865) 964-6135

271 Grant Ave
Suite 100
Auburn, NY 13021-1407
Phone (315) 704-6097

3450 Union Rd
Cheektowaga, NY 14225-5120
Phone (716) 395-2043

4752 Commercial Dr
Suite 1
New Hartford, NY 13413-6205
Phone (315) 275-3046

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

830 County Rd
Suite 64
Elmira, NY 14903-9719
Phone (607) 846-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5033CTMDSocial Worker
027442NYMDGeneral Practice Dentistry
3802TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Dec 1, 2025 Accepting new patients
Tennessee Premier Health LLC Medical CurrentSince Nov 3, 2025 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

233 Saratoga Rd
Glenville, NY 12302
Phone (518) 930-7497

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

145 Bear Xing
Ste 100
Mount Juliet, TN 37122
Phone (865) 234-4395

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1003380650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BEAR XING STE 100",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224684",
            "telephone_number": "865-234-4395",
            "fax_number": "615-899-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BEAR XING STE 100",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224684",
            "telephone_number": "865-234-4395",
            "fax_number": "615-899-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARCY",
        "first_name": "KERIBETH",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "027442",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3802",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA8285",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.