Individual provider Active NPI

Caroline Sudhoff, PA

  • Physician Assistant
  • Maryville, TN
National Provider Identifier
1184133712
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
220 BMH Cancer Ctr
Maryville, TN 37804-5922
Phone
(865) 238-6600
Fax
(865) 238-6605
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TN Primary
Surgical Physician Assistant 363AS0400X PA0003396 TN

Addresses

Primary practice location

220 BMH Cancer Ctr
Maryville, TN 37804-5922

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

405 Bmh Physicians Office Bldg
Maryville, TN 37804-5807
Phone (865) 238-6430

Other identifiers 1

IdentifierTypeStateIssuer
Q31471MedicaidTN

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
I20180110000827 TN Practitioner - Physician Assistant 2961761358 Reassigns benefits to 1 organization

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
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

200 BMH Cancer Ctr
Maryville, TN 37804-5922
Phone (865) 980-5230

220 BMH Cancer Ctr
Maryville, TN 37804-5922
Phone (865) 238-6600

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (864) 455-3748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0003396TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Budayr & Associates PastSince Aug 6, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: caroline.sudhoff.p1@direct.bmpg.nextgenshare.com
  • Direct secure messaging: csudhoff864501@direct.ghs.myhfn.org

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.

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1184133712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BMH CANCER CTR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045922",
            "telephone_number": "865-238-6600",
            "fax_number": "865-238-6605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Bmh Physicians Office Bldg",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378045807",
            "country_code": "US",
            "telephone_number": "865-238-6430",
            "fax_number": "865-238-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDHOFF",
        "first_name": "CAROLINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA0003396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q31471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.