Danielle Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3922 Issued in TN

Practice address

313 E Florida Ave
Union City, TN 38261-3957

Phone

(731) 599-0261

Fax

(986) 786-5149

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Priority One Medical Care LLC

  • Clinic/Center
  • Union City, TN
  • NPI 1104303924
  NPD Authorized official

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1366098436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E FLORIDA AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613957",
            "telephone_number": "731-599-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E FLORIDA AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613957",
            "telephone_number": "731-599-0261",
            "fax_number": "986-786-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Jones, R.N.
• Robert B Jordan, OD
• Peter Lee Katz, M.D.
• Jeffery W. Kaze, DMD
• Matthew Keathley, DNP, FNP-C
• Jason Todd Keller, D.C.
• Kisha Darlene Kelly, LCSW
• Tina Kelly, MSN, FNP-C
• Kentenn Anesthesia
• Amanda Lee Keown, NP-C

• Physician Assistant in Union City, TN
• Providers in Union City, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.