Individual provider Active NPI

Audrey Josey, PA

  • Physician Assistant
  • Ooltewah, TN
National Provider Identifier
1336809987
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5038 Hunter Rd Ste 102
Ooltewah, TN 37363-8316
Phone
(423) 910-6100
Fax
(423) 910-6109
NPI assigned
Dec 22, 2021
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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
Physician Assistant 363A00000X TN Primary

Addresses

Primary practice location

5038 Hunter Rd Ste 102
Ooltewah, TN 37363-8316

Mailing address

5038 Hunter Rd Ste 102
Ooltewah, TN 37363-8316
Phone (423) 910-6100

Other identifiers 1

IdentifierTypeStateIssuer
PA4888OtherTNSTATE LICENSE

Other names 1

  • Mrs. Audrey Seay Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address audrey.seay.1@1525.direct.athenahealth.com
Direct Messaging Address audrey.seay.1@1525.direct.athenahealth.com

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
I20220321000072 TN Practitioner - Physician Assistant 4183019672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Ut Urgent Care Centers, LLCGroup PAC ID 5597015065, 24 clinicians
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-3052
Phone (865) 365-3074

2700 Westside Dr NW
Suite 204
Cleveland, TN 37312-3682
Phone (423) 476-3711

5779 Creekwood Park Blvd
Suite 110
Lenoir City, TN 37772-1203
Phone (865) 635-2810

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: audrey.seay.1@31613.direct.athenahealth.com
  • Direct secure messaging: audrey.josey.1@14940.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1336809987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 HUNTER RD STE 102",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638316",
            "telephone_number": "423-910-6100",
            "fax_number": "423-910-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 HUNTER RD STE 102",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638316",
            "telephone_number": "423-910-6100",
            "fax_number": "423-910-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEY",
        "first_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA4888",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.seay.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "700 Paul Huff Pkwy NW",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373122959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.seay.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "5038 Hunter Rd Ste 102",
            "city": "Ooltewah",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373638316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SEAY",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.