Robert Kevin Chin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA753 Issued in TN

Practice address

711 Cook Dr Ste 100
Athens, TN 37303-3499

Phone

(423) 744-7585

Fax

(423) 746-4993

NPI assigned

Apr 23, 2007

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.chin@164749367312388.direct.elationemr.com

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.

• Athens Physicians Practice, LLC

  dba Starr Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Athens, TN
  • NPI 1689055774
  Medicare reassignment
• Physicians Medical Care

  • Health Service Clinic/Center
  • Murfreesboro, TN
  • NPI 1588851661
  Medicare reassignment
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  Medicare reassignment
• Athens Physicians Practice LLC

  dba Starr Regional Family Practice - Etowah

  • Rural Health Clinic/Center
  • Etowah, TN
  • NPI 1508627175
  NPD
• Athens Physicians Practice LLC

  dba William R. Bowers MD

  • Family Medicine Physician
  • Athens, TN
  • NPI 1073532123
  NPD (past)
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951

  Physician Assistant

  NPD (past)
• Cleveland Tennessee Hospital Company LLC

  • Internal Medicine Physician
  • Cleveland, TN
  • NPI 1376723379
  NPD (past)
• Southern Medical Clinics, LLC

  • Primary Care Clinic/Center
  • Cleveland, TN
  • NPI 1508824749

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1336367671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COOK DR STE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033499",
            "telephone_number": "423-744-7585",
            "fax_number": "423-746-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ROBERT",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles B Cox MDPC
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• Cherokee Medical Group PC
• Barbara Ruth Childress, RN
• David Ryan Childress, M.D.
• Ami Christensen
• Lacy Nicole Chupp
• Debi A Church, CPM-TN
• Kayla Gabrielle Clare, OTR/L
• James A Clark, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.