NPIMap

Individual provider Active NPI

Katina England Huff, PA-C

  • Physician Assistant
  • Sparta, TN
National Provider Identifier
1093826463
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA633 Issued in TN
Practice address
133 Churchill Dr
Sparta, TN 38583-1524
Phone
(931) 836-3262
Fax
(931) 836-3269
NPI assigned
Aug 31, 2006
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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 PA633 TN Primary

Addresses

Primary practice location

133 Churchill Dr
Sparta, TN 38583-1524

Mailing address

PO Box 622
Sparta, TN 38583-0622
Phone (931) 808-1378

Other identifiers 3

IdentifierTypeStateIssuer
10075889MedicaidTN
4071330MedicaidTN
TN0102MedicaidTN

Other names 1

  • Katina England Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000275 TN Practitioner - Physician Assistant 1759382484 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Providence Family MedicineGroup PAC ID 9234563180, 2 clinicians

Practice addresses (Care Compare)

287 W Turn Table Rd
Sparta, TN 38583-1366
Phone (931) 836-3262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
633TNMDChiropractor
PA633TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1093826463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385830622",
            "telephone_number": "931-808-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHURCHILL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831524",
            "telephone_number": "931-836-3262",
            "fax_number": "931-836-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "KATINA",
        "middle_name": "ENGLAND",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10075889",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4071330",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TN0102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATINA",
            "last_name": "JONES",
            "middle_name": "ENGLAND",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.