Active NPI
Brittany Michelle Ryan, PA-C
- Physician Assistant
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2144
- Practice address
- 11808 Kingston Pike
Suite 160
Knoxville, TN 37934-3803 - Phone
- (865) 966-3940
- Fax
- (865) 966-6914
- NPI assigned
- May 2, 2012
- Last updated
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2144 | TN | Primary |
Addresses
Primary practice location
11808 Kingston Pike
Suite 160
Knoxville, TN 37934-3803
Mailing address
1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2144 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group PLLC | Past | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients |
Locations
11808 Kingston Pike
Ste 160
Knoxville, TN 37934
Phone (865) 966-3940
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
Interoperability endpoints
- brittanypruitt@clarisconcierge.kareodirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
dba William J. Fry, MD
- Internal Medicine Physician
- Sevierville, TN
- NPI 1811068406
-
dba Summit Medical Group of Oak Ridge
- Family Medicine Physician
- Oak Ridge, TN
- NPI 1437238797
-
dba Summit Medical Group of Cookeville
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1245598879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD",
"address_2": "SUITE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092604",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 KINGSTON PIKE",
"address_2": "SUITE 160",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379343803",
"telephone_number": "865-966-3940",
"fax_number": "865-966-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "BRITTANY",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.