Charles Christian Rickey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

KY PA 837 Issued in KY

Practice address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052

Phone

(865) 293-5335

NPI assigned

Jun 3, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Physician Assistant

Education

University of Kentucky College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• St Claire Medical Center, Inc.,

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535
  Medicare reassignment Care Compare group
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment
• St Claire Medical Center, Inc

  dba St Claire Healthcare Urgent Care

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Medical Center, Inc

  dba Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
  • NPI 1558383885

  Physician Assistant

  NPD
• Marshall West Virginia Ed Associates, LLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1831461755
  NPD (past)
• Sprocket Medical Management LLC

  • General Practice Physician
  • Hobbs, NM
  • NPI 1801859319
  NPD (past)

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

• St Claire Medical Center Inc

  dba Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  dba St. Claire Family Care Clinic

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1376702654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 ASHLEY ST",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410418777",
            "telephone_number": "606-615-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-293-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKEY",
        "first_name": "CHARLES",
        "middle_name": "CHRISTIAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA 837",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "KY PA 837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Rickerson
• Aaryn Rickert
• Jeffrey Alan Rickert, DO
• Gwendolyn Carlene Rickett, RN
• Leigh Ann Ricketts, DC
• Briana Ricks
• Clinton Ricks
• Kari Riddell, LCSW
• Amanda Ridder
• Jordan A Ridder, PA-C

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.