Individual provider Active NPI

Rachel Diane Kohn, PA-C

  • Physician Assistant
  • Sevierville, TN
National Provider Identifier
1063989739
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3687 Issued in TN
Practice address
1108 Fox Meadows Blvd
Sevierville, TN 37862-6939
Phone
(865) 366-1581
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 3687 TN Primary

Addresses

Primary practice location

1108 Fox Meadows Blvd
Sevierville, TN 37862-6939

Mailing address

1422 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (658) 558-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3657TNMDFamily Medicine Physician
3687TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 6, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 6, 2022 Accepting new patients

Locations

321 Central Ave E
Jamestown, TN 38556
Phone (931) 704-9188

1390 5th St
Jellico, TN 37762
Phone (423) 818-1084

441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767

510 N Main St
Rocky Top, TN 37769
Phone (865) 205-9582

Interoperability endpoints

  • Direct secure messaging: rachel.kohn.p1@direct.orthotn.nextgenshare.com

Organizations & group practices 2

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1063989739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 OLD WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091293",
            "telephone_number": "658-558-4400",
            "fax_number": "865-558-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 FOX MEADOWS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626939",
            "telephone_number": "865-366-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.