Nancy Karen Shumate, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000000512 Issued in TN

Practice address

James H. Quillen Vamc
Dogwood Ave. 111C
Mountain Home, TN 37684

Phone

(423) 979-3497

Fax

(423) 979-3423

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1194765875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 WEBB RD",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376864324",
            "telephone_number": "423-292-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN VAMC",
            "address_2": "DOGWOOD AVE. 111C",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-979-3497",
            "fax_number": "423-979-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "NANCY",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Robert Shields Jr., MSW
• Roxy L Shortridge, FNP-BC
• Lawrence I Shotland, PH.D.
• Amber Michelle Shuck, LCSWA
• Steven Michael Shulruff, M.D.
• Gurman Kaur Sidhu, M.D.
• Gary Wayne Simerly
• Patrick Sloan, PH.D.
• Vicki Jo Smedley, PHARMD
• Mary Kathryn Smith

• Medical Physician Assistant in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.