Active NPI
William A Paczkowski, NP
- Family Nurse Practitioner
- Alcoa, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24254
- Practice address
- 281 Cusick Rd
Alcoa, TN 37701 - Phone
- (865) 970-0025
- Fax
- (865) 970-2089
- NPI assigned
- May 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24254 | TN | |
| Family Nurse Practitioner | 363LF0000X | 24254 | TN | Primary |
Addresses
Primary practice location
281 Cusick Rd
Alcoa, TN 37701
Mailing address
9000 Executive Park Dr Ste C200
Knoxville, TN 37923-4644
Phone (865) 670-6754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of North Carolina, P.C. | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| University Health System Inc | Current | Accepting new patients | |
| University Health System. Inc | Family Medicine | Current | Accepting new patients |
| Ut Urgent Care Centers LLC | Family Medicine | Current | Accepting new patients |
| University Health System, Inc. | Current | Accepting new patients |
Locations
4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057
281 Cusick Rd
Alcoa, TN 37701
Phone (865) 970-0025
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61117
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Family Medicine Physician
- Seymour, TN
- NPI 1801391453
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1306015102
NC
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Internal Medicine Physician
- Alcoa, TN
- NPI 1063455814
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1568558310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1205327103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 EXECUTIVE PARK DR STE C200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234644",
"telephone_number": "865-670-6754",
"fax_number": "865-670-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 CUSICK RD",
"city": "ALCOA",
"state": "TN",
"postal_code": "37701",
"telephone_number": "865-970-0025",
"fax_number": "865-970-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACZKOWSKI",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "24254",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.