Kenneth W Starnes, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11023 Issued in GA

Practice address

6419 Bristol Hwy
Piney Flats, TN 37686-5208

Phone

(423) 538-5202

Fax

(423) 538-8208

NPI assigned

Oct 10, 2006

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, VA, GA3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  Medicare reassignment
• Tri-Cities Observation Services, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1154860146
  Medicare reassignment
• Tri-Cities Regional Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1063950046
  Medicare reassignment
• Urgent Family Care PLLC

  • Urgent Care Clinic/Center
  • Knoxville, TN
  • NPI 1093139339
  Medicare reassignment
• Emergency Physicians of Southern Virginia LLP

  • Emergency Medicine Physician
  • Galax, VA
  • NPI 1417187667
  Medicare reassignment
• Hightower Emergency Group, PC

  • Emergency Medicine Physician
  • Thomaston, GA
  • NPI 1790285815
  Medicare reassignment
• Lake Spring Emergency Group, LLC

  • Emergency Medicine Physician
  • Salem, VA
  • NPI 1215429600
  Medicare reassignment
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment
• Western Virginia Regional Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Norton, VA
  • NPI 1386183028
  Medicare reassignment
• Appalachian Emergency Physicians

  • Emergency Medicine Physician
  • Erwin, TN
  • NPI 1932451291
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Sleep Medicine (Family Medicine) Physician
  • Bristol, VA
  • NPI 1730542473
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1003904723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 BRISTOL HWY",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376865208",
            "telephone_number": "423-538-5202",
            "fax_number": "423-538-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 BRISTOL HWY",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376865208",
            "telephone_number": "423-538-5202",
            "fax_number": "423-538-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNES",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1414",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506303",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR",
            "identifier": "P0141826",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdul Sadik, M.D.
• William Bennett Sanders IV
• Mary Catherine Elizabeth Shipley, NP
• Sheila Y Sigmon
• Caralyn Ileen Snyder, PHARMD
• Steven C. Marrs, DDS
• Paul Anthony Stiltner, PHARMD
• Troy Eugene Sybert, M.D., M.P.H
• Karrie Brooke Vance, PHARM D
• Eden Marie Villiard, FNP

• Physician Assistant in Piney Flats, TN
• Providers in Piney Flats, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.