Amanda Wilks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1117 Issued in TN

Practice address

939 Emerald Ave
Suite 705
Knoxville, TN 37917-4502

Phone

(865) 524-2547

Fax

(865) 524-0224

NPI assigned

May 20, 2006

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandawilks@dakpc.allscriptsdirect.net

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.

• Dermatology Associates of Knoxville, PC

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1407873284
  NPD
• East Tennessee Dermatology Group, PC

  • Dermatology Physician
  • Alcoa, TN
  • NPI 1891050407
  NPD (past)
• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1265486484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 705",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-524-2547",
            "fax_number": "865-524-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 705",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-524-2547",
            "fax_number": "865-524-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKS",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1117",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "PA1117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avonlea Wilkinson, RBT
• Bethany F Wilkinson, RBT
• John W Wilkinson, MD
• Rebecca Michelle Wilkinson, BSSW
• Sondra Kay Wilkinson, LPC
• Donna Wilks, REGISTERED NURSE
• Joshua Will, B.A.
• Ashley Willard
• Heather Willard, MA, LMFT-T
• Jay C Willard Jr., PT, DPT

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.