Active NPI
Priscilla Ayodele Jeneba Choukroun, PA-C
- Medical Physician Assistant
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 6774
- Practice address
- 2018 Western Ave
Knoxville, TN 37921-5718 - Phone
- (865) 544-0406
- Fax
- (865) 544-0480
- NPI assigned
- Mar 7, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12924 | TX | |
| Physician Assistant | 363A00000X | 116462 | IA | |
| Physician Assistant | 363A00000X | 2712 | SC | |
| Medical Physician Assistant | 363AM0700X | 6774 | TN | Primary |
Addresses
Primary practice location
2018 Western Ave
Knoxville, TN 37921-5718
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other practice location 1
3345 Loethen Ln
Coralville, IA 52241-2626
Phone (469) 536-1929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2969PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 Synergy Way
Holly Hill, FL 32117-2502
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6774 | TN | MD | Mental Health Counselor |
| 2712 | SC | MD | Marriage & Family Therapist |
| 116462 | IA | MD | Physician Assistant |
| 12924 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Health - University of South Carolina Medical Group | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
Interoperability endpoints
- pchoukroun264283@uihcdirect.org
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.
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Family Medicine Physician
- Sumter, SC
- NPI 1295211894
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Student Health Clinic/Center
- Iowa City, IA
- NPI 1285635664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1245770452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 WESTERN AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379215718",
"telephone_number": "865-544-0406",
"fax_number": "865-544-0480"
}
],
"practiceLocations": [
{
"address_1": "3345 Loethen Ln",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522412626",
"country_code": "US",
"telephone_number": "469-536-1929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOUKROUN",
"first_name": "PRISCILLA",
"middle_name": "AYODELE JENEBA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "12924",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "116462",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2712",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "6774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2969PA",
"state": "SC"
}
],
"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 Apr 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.