Active NPI
Keribeth R Searcy, PA-C
- Medical Physician Assistant
- Mount Juliet, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5033 | CT | MD | Social Worker |
| 027442 | NY | MD | General Practice Dentistry |
| 3802 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristan Medical PC | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Tennessee Premier Health LLC | Medical | Current | 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
- 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.
-
- Medical Physician Assistant
- Mount Juliet, TN
- NPI 1457155129
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
-
- Urgent Care Clinic/Center
- Brockton, MA
- NPI 1659153203
-
- Family Medicine Physician
- Norton, MA
- NPI 1154492700
-
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.