Individual provider Active NPI

Steven Michael Comer, PA

  • Physician Assistant
  • Sevierville, TN
National Provider Identifier
1275897837
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2211 Issued in TN
Practice address
1108 Fox Meadows Blvd Ste 1
Sevierville, TN 37862-6939
Phone
(865) 366-1581
Fax
(865) 366-1589
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2211 TN Primary

Addresses

Primary practice location

1108 Fox Meadows Blvd Ste 1
Sevierville, TN 37862-6939

Mailing address

PO Box 106
Chattanooga, TN 37401-0106
Phone (865) 366-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2211TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. Current Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1275897837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374010106",
            "telephone_number": "865-366-1581",
            "fax_number": "865-366-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 FOX MEADOWS BLVD STE 1",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626939",
            "telephone_number": "865-366-1581",
            "fax_number": "865-366-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMER",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.