Active NPI
Rachel Diane Kohn, PA-C
- Physician Assistant
- Sevierville, TN
National Provider Identifier
1063989739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3687
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3657 | TN | MD | Family Medicine Physician |
| 3687 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | 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
- 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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.