Individual provider Active NPI

Emily Kramer Prince, PA-C

  • Physician Assistant
  • Winchester, TN
National Provider Identifier
1336738038
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2401 Decherd Blvd
Winchester, TN 37398-1164
Phone
(931) 313-1388
NPI assigned
Jan 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 4475 TN
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2401 Decherd Blvd
Winchester, TN 37398-1164

Mailing address

2401 Decherd Blvd
Winchester, TN 37398-1164
Phone (678) 333-5727

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210224001672 TN Practitioner - Physician Assistant 4981019916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

120 Walnut Commons LN
Suite B
Cookeville, TN 38501-6037
Phone (931) 650-4385

2401 Decherd Blvd
Winchester, TN 37398-1164
Phone (615) 988-1571

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

600 N Jackson St
Tullahoma, TN 37388-3542
Phone (931) 563-5469

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4475TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 26, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 26, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 15, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 15, 2021 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

931 Old Smithville Rd
McMinnville, TN 37110
Phone (931) 259-4144

910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

2401 Decherd Blvd
Winchester, TN 37398
Phone (931) 313-1388

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1336738038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DECHERD BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981164",
            "telephone_number": "678-333-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DECHERD BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981164",
            "telephone_number": "931-313-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "EMILY",
        "middle_name": "KRAMER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4475",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.