Individual provider Active NPI

Reilly Marie Munson, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1225899610
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5939 Issued in TN
Practice address
1415 Old Weisgarber Rd Ste 200
Knoxville, TN 37909-1341
Phone
(865) 934-5800
Fax
(865) 934-5801
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5939 TN
Physician Assistant 363A00000X 5939 TN Primary

Addresses

Primary practice location

1415 Old Weisgarber Rd Ste 200
Knoxville, TN 37909-1341

Mailing address

6016 Brookvale LN Ste 200
Knoxville, TN 37919-4092
Phone (865) 862-0998

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
I20240325001078 TN Practitioner - Physician Assistant 4082051214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 E Hill Ave
Suite 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5939TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Mar 11, 2024 Accepting new patients
Tennessee Cancer Specialists PLLC CurrentSince Jul 22, 2025 Accepting new patients
Tennessee Cancer Specialist PLLC CurrentSince Jul 22, 2025 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Mar 11, 2024 Accepting new patients
Tennessee Cancer Specialists PLLC Past Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

420 W Morris Blvd
Ste 410
Morristown, TN 37813
Phone (423) 587-0491

1725 Medical Center Pkwy
Ste 130
Murfreesboro, TN 37129
Phone (615) 217-0259

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Interoperability endpoints

  • Direct secure messaging: reilly.welles@ahp.eclinicaldirectplus.com

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 and National Provider Directory roles.

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1225899610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 BROOKVALE LN STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194092",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091341",
            "telephone_number": "865-934-5800",
            "fax_number": "865-934-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "REILLY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5939",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.