Active NPI
Alan Earl King, PA-C.
- Physician Assistant
- Athens, TN
National Provider Identifier
1255980389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3985
- Practice address
- 2400 Denso Dr
Athens, TN 37303-7835 - Phone
- (423) 745-0303
- Fax
- (423) 745-0306
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 61786 | CA | |
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 11693 | GA | |
| Physician Assistant | 363A00000X | PA2240 | NV | |
| Physician Assistant | 363A00000X | 3985 | TN | Primary |
Addresses
Primary practice location
2400 Denso Dr
Athens, TN 37303-7835
Mailing address
2400 Denso Dr
Athens, TN 37303-7835
Phone (423) 745-0303
Other practice location 1
3101 Plumas St
Reno, NV 89509-4515
Phone (407) 908-3495
Other practice location 2
668 Adriane Park Cir
Kissimmee, FL 34744-4900
Phone (407) 908-3495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brownsville Medical Clinic, P.a.
Practice addresses (Care Compare)
2565 N Washington Ave
Brownsville, TN 38012-1610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11693 | GA | MD | Pharmacist |
| 3985 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services Ga LLC | Current | Accepting new patients | |
| BH Services Southeast 1 PC | Physician Assistant | Past | Accepting new patients |
Locations
3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
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.
-
- Nurse Practitioner
- Brownsville, TN
- NPI 1164251526
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Nurse Practitioner
- Franklin, TN
- NPI 1326603911
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1306545181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1255980389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 DENSO DR",
"city": "ATHENS",
"state": "TN",
"postal_code": "373037835",
"telephone_number": "423-745-0303",
"fax_number": "423-745-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 DENSO DR",
"city": "ATHENS",
"state": "TN",
"postal_code": "373037835",
"telephone_number": "423-745-0303",
"fax_number": "423-745-0306"
}
],
"practiceLocations": [
{
"address_1": "3101 Plumas St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895094515",
"country_code": "US",
"telephone_number": "407-908-3495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "668 Adriane Park Cir",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347444900",
"country_code": "US",
"telephone_number": "407-908-3495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ALAN",
"middle_name": "EARL",
"credential": "PA-C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-11",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61786",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "11693",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2240",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "3985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.