Individual provider Active NPI

Prianca Patel

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1255968772
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5581 Issued in TN
Practice address
1930 Pinnacle Pointe Way
Knoxville, TN 37922-6702
Phone
(865) 474-8800
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 5581 TN Primary

Addresses

Primary practice location

1930 Pinnacle Pointe Way
Knoxville, TN 37922-6702

Mailing address

1930 Pinnacle Pointe Way
Knoxville, TN 37922-6702
Phone (865) 474-8800

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
I20231026002324 TN Practitioner - Physician Assistant 6204255987 Reassigns benefits to 1 organization

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
Southeastern Dermatology Consultants, PCGroup PAC ID 1052214822, 3 clinicians

Practice addresses (Care Compare)

1930 Pinnacle Pointe Way
Knoxville, TN 37922-6702
Phone (865) 474-8800

7323 Chapman Hwy
Suite 100
Knoxville, TN 37920-6757
Phone (865) 474-8800

Merit-based Incentive Payment System (MIPS)

Final score
92.45 of 100Reported as group
Quality
84.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085007790ILMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1255968772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PINNACLE POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226702",
            "telephone_number": "865-474-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PINNACLE POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226702",
            "telephone_number": "865-474-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.