Erin Himes, PA-C
Individual provider Active NPI Medical Physician Assistant · Madisonville, TN
NPI 1316700321 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1316700321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5914 (TN)
- Practice address
- 3959 Highway 411
Madisonville, TN 37354-4417 - Phone
- (423) 442-2121
- Fax
- (423) 545-9556
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellnow Urgent Care, P.C.
Practice addresses (Care Compare)
1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204
3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080
3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
4995 Wintersweet Dr
Liverpool, NY 13088-2176
Phone (315) 401-3210
6227 Thompson Rd
Syracuse, NY 13206-1405
Phone (315) 937-2007
6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801003849 | TN | Practitioner - Physician Assistant | 8224575758 | Reassigns benefits to 1 organization |
| I20250910003021 | NY | Practitioner - Physician Assistant | 8224575758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5914 | TN | MD | Psychiatry Physician |
| 034033 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madisonville Primary Care Group PLLC | Medical | Current |
Accepting new patients |
| Madisonville Primary Care Group PLLC | Past | Accepting new patients |
Locations
401 W Washington Ave
Athens, TN 37303
Phone (423) 744-8400
723 N Tennessee Ave
Etowah, TN 37331
Phone (423) 263-2100
3959 Highway 411
Madisonville, TN 37354
Phone (423) 442-2121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | 5914 | TN | Yes |
Addresses
Primary practice location
3959 Highway 411
Madisonville, TN 37354-4417
Mailing address
PO Box 808
Kingston, TN 37763-0808
Phone (865) 224-7172
Other practice location 1
723 N Tennessee Ave
Etowah, TN 37331-1754
Phone (423) 263-2100
Other practice location 2
401 W Washington Ave
Athens, TN 37303-3468
Phone (423) 745-6610
Other providers in Madisonville, TN
- Leslie Ann Harris
- Matthew Harvey
- Michaela Hauer
- Melissa W Haun
- McKenzie Taylor Henry
- Lance Hodge
- Carla Brook Hooper
- Marcelle Margaret Hounslow
- Terry Howe
- Tori Hudson
All providers in Madisonville, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.