Individual provider Active NPI

Jordan Digiovanni, PA-C

  • Physician Assistant
  • Oak Ridge, TN
National Provider Identifier
1174039366
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1 Bethel Valley Rd
Oak Ridge, TN 37830-8050
Phone
(865) 574-9355
Fax
(865) 574-9353
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 Primary

Addresses

Primary practice location

1 Bethel Valley Rd
Oak Ridge, TN 37830-8050

Mailing address

2928 Split Oak Dr
Knoxville, TN 37920-7308
Phone (865) 389-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN2 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
I20180626000731 WV Practitioner - Physician Assistant 4183979503 Reassigns benefits to 1 organization
I20190122000865 TN Practitioner - Physician Assistant 4183979503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medexpress Urgent Care, PC - TennesseeGroup PAC ID 9537323118, 4 clinicians

Practice addresses (Care Compare)

1 Bethel Valley Rd
Oak Ridge, TN 37830-8050
Phone (865) 574-9355

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Dec 1, 2018 Accepting new patients
Medexpress Urgent Care, PC - Tennessee CurrentSince Jun 1, 2025 Accepting new patients
University Health System, Inc CurrentSince Dec 1, 2018 Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

2519 Willow Point Way
Knoxville, TN 37931
Phone (865) 694-9349

1 Bethel Valley Rd
Oak Ridge, TN 37830
Phone (865) 574-7431

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Interoperability endpoints

  • Direct secure messaging: jordan.digiovanni.1@27404.direct.athenahealth.com

Organizations & group practices 7

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": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1174039366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 SPLIT OAK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379207308",
            "telephone_number": "865-389-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHEL VALLEY RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308050",
            "telephone_number": "865-574-9355",
            "fax_number": "865-574-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.