Individual provider Active NPI

Erin Himes, PA-C

  • Medical Physician Assistant
  • Madisonville, TN
National Provider Identifier
1316700321
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5914 Issued in TN
Practice address
3959 Highway 411
Madisonville, TN 37354-4417
Phone
(423) 442-2121
Fax
(423) 545-9556
NPI assigned
Feb 1, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 5914 TN Primary

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

401 W Washington Ave
Athens, TN 37303-3468
Phone (423) 745-6610

Other practice location 2

723 N Tennessee Ave
Etowah, TN 37331-1754
Phone (423) 263-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240801003849 TN Practitioner - Physician Assistant 8224575758 Reassigns benefits to 1 organization
I20250910003021 NY Practitioner - Physician Assistant 8224575758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5914TNMDClinical Social Worker
034033NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Madisonville Primary Care Group PLLC Medical CurrentSince Apr 24, 2024 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

Organizations & group practices 3

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1316700321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377630808",
            "telephone_number": "865-224-7172",
            "fax_number": "865-224-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373544417",
            "telephone_number": "423-442-2121",
            "fax_number": "423-545-9556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373033468",
            "country_code": "US",
            "telephone_number": "423-745-6610",
            "fax_number": "423-745-6360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "723 N Tennessee Ave",
            "address_purpose": "LOCATION",
            "city": "Etowah",
            "state": "TN",
            "postal_code": "373311754",
            "country_code": "US",
            "telephone_number": "423-263-2100",
            "fax_number": "423-781-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMES",
        "first_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.