Individual provider Active NPI

Janet D Breeding, PA-C

  • Medical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1083767966
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1275 Issued in TN
Practice address
10215 Kingston Pike # 200
Knoxville, TN 37922-3222
Phone
(865) 584-8580
Fax
(865) 251-9939
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1275 TN Primary

Addresses

Primary practice location

10215 Kingston Pike # 200
Knoxville, TN 37922-3222

Mailing address

10215 Kingston Pike # 200
Knoxville, TN 37922-3222
Phone (865) 584-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000231 TN Practitioner - Physician Assistant 9830120989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Wellness Center PCGroup PAC ID 1658313549, 8 clinicians

Practice addresses (Care Compare)

10215 Kingston Pike
Suite 200
Knoxville, TN 37909-3222
Phone (865) 584-8580

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
93.26
Improvement activities
40
Cost
77.06

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: janetbreeding@tswc.allscriptsdirect.net

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1083767966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE # 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE # 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "JANET",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.