Active NPI
George F. Hillegas III, EDD, MPH, PA-C
- Medical Physician Assistant
- Knoxville, TN
National Provider Identifier
1336476159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1533
- Practice address
- 3904 Lonas
PA Program South College
Knoxville, TN 37909 - Phone
- (865) 251-1883
- Fax
- (865) 584-9816
- NPI assigned
- Nov 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1533 | TN | Primary |
| Medical Physician Assistant | 363AM0700X | 451 | CT |
Addresses
Primary practice location
3904 Lonas
PA Program South College
Knoxville, TN 37909
Mailing address
400 Goodys LN
(South College PA Program)
Knoxville, TN 37922-1900
Phone (865) 288-8312
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 451 | CT | MD | Hearing Instrument Specialist |
| 1533 | TN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1336476159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GOODYS LN",
"address_2": "(SOUTH COLLEGE PA PROGRAM)",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379221900",
"telephone_number": "865-288-8312",
"fax_number": "865-288-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 LONAS",
"address_2": "PA PROGRAM SOUTH COLLEGE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-251-1883",
"fax_number": "865-584-9816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLEGAS",
"first_name": "GEORGE",
"middle_name": "F.",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "EDD, MPH, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-16",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1533",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.