Individual provider Active NPI

Anna G Leach, PA

  • Physician Assistant
  • Greeneville, TN
National Provider Identifier
1073367751
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5976 Issued in TN
Practice address
1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822
Phone
(423) 639-0243
Fax
(423) 639-0628
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5976 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240530001616 TN Practitioner - Physician Assistant 6901248343 Reassigns benefits to 1 organization
I20251023004767 NC Practitioner - Physician Assistant 6901248343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Cancer Specialists PLLCGroup PAC ID 1658358171, 69 clinicians

Practice addresses (Care Compare)

1301 Sunset Dr
Suite 3
Johnson City, TN 37604-7906
Phone (423) 588-7130

900 E Hill Ave
Suite 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Hospital & facility affiliations

  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5976TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Cancer Specialist PLLC CurrentSince Apr 15, 2024 Accepting new patients
Tailored Wellness LLC Physician Assistant Current Accepting new patients
Krishiroshi, LLC CurrentSince Jun 20, 2025 Accepting new patients
Tennessee Cancer Specialists PLLC CurrentSince Apr 15, 2024 Accepting new patients
Tennessee Cancer Specialists PLLC Past Accepting new patients

Locations

266 Merrimon Ave
Asheville, NC 28801
Phone (828) 253-6712

380 Brevard Rd
Asheville, NC 28806
Phone (352) 216-7618

3016 Cane Creek Rd
Fairview, NC 28730
Phone (352) 216-7618

1665 E Andrew Johnson Hwy
Ste 2
Greeneville, TN 37745
Phone (423) 639-0243

1410 Tusculum Blvd
Ste 2200
Greeneville, TN 37745
Phone (423) 639-0243

1301 Sunset Dr
Ste 3
Johnson City, TN 37604
Phone (423) 588-7130

4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1073367751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD STE 2200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455822",
            "telephone_number": "423-639-0243",
            "fax_number": "423-639-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "ANNA",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.