Individual provider Active NPI

John Houston Yates, PA-C

  • Medical Physician Assistant
  • Etowah, TN
National Provider Identifier
1245821438
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
301 Grady Rd
Etowah, TN 37331-1924
Phone
(423) 263-1743
NPI assigned
Jan 29, 2021
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4438 TN
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

301 Grady Rd
Etowah, TN 37331-1924

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

315 Oakland Rd
Sweetwater, TN 37874-1722
Phone (423) 244-1523

Other practice location 2

791 New Highway 68 Ste 1
Sweetwater, TN 37874-1906
Phone (423) 836-9304

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
I20210429001240 TN Practitioner - Physician Assistant 8224447453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

1275 Dick Lonas Rd
Knoxville, TN 37909-1326

1874 Decatur Pike
Athens, TN 37303-4922
Phone (855) 632-3278

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

301 Grady Rd
Etowah, TN 37331-1924
Phone (423) 263-1743

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 15, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 15, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 16, 2024 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

301 Grady Rd
Etowah, TN 37331
Phone (423) 263-1743

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

2019 Jacksboro Pike
La Follette, TN 37766
Phone (423) 437-3093

931 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 259-4144

1181 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 446-1433

791 New Highway 68
Ste 1
Sweetwater, TN 37874
Phone (423) 836-9304

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Interoperability endpoints

  • Direct secure messaging: john.yates.1@20785.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1245821438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GRADY RD",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311924",
            "telephone_number": "423-263-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Oakland Rd",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378741722",
            "country_code": "US",
            "telephone_number": "423-244-1523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 New Highway 68 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378741906",
            "country_code": "US",
            "telephone_number": "423-836-9304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "JOHN",
        "middle_name": "HOUSTON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4438",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

Sources for this page

Verify at the official NPI Registry.