Anne Camille Buckner, PHYSICIAN ASSISTANT

Individual provider Active NPI Physician Assistant · Lenoir City, TN

NPI 1366052672 · NPPES record last updated Mar 20, 2023

Key facts

NPI
1366052672
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
4196 (TN)
Practice address
570 Highway 321 N
Lenoir City, TN 37771-6545
Phone
(865) 986-6563
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PC (82 clinicians)

Practice addresses (Care Compare)

110 Majestic Grove Rd
Knoxville, TN 37920-6485
Phone (866) 389-2727

1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727

570 Hwy 321 N
Lenoir City, TN 37771-6545
Phone (866) 389-2727

6005 Kingston Pike
Knoxville, TN 37919-6346
Phone (866) 389-2727

9137 Middlebrook Pike
Knoxville, TN 37923-1425
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100 (group)
Quality
83.39
Improvement activities
40
Cost
80.93

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220322000392 TN Practitioner - Physician Assistant 8224423686 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Tennessee PLLC Physician Assistant Current
since Aug 15, 2025
Accepting new patients
Summit Medical Group, PLLC Current
since Feb 1, 2022
Accepting new patients
Summit Medical Group, PLLC Current
since Feb 1, 2022
Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

570 Highway 321 N
Lenoir City, TN 37771
Phone (865) 986-6563

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

10626 Chapman Hwy
Seymour, TN 37865
Phone (865) 577-5231

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4196 TN Yes

Addresses

Primary practice location

570 Highway 321 N
Lenoir City, TN 37771-6545

Mailing address

570 Highway 321 N
Lenoir City, TN 37771-6545
Phone (865) 986-6563

Other practice location 1

10626 Chapman Hwy
Seymour, TN 37865-4703
Phone (865) 577-5231

Other names

  • Anne Camille Reynolds Former name

Other providers in Lenoir City, TN

All providers in Lenoir City, TN · Physician Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.