Active NPI
James D Womack Jr., PA-C
- Physician Assistant
- Knoxville, TN
National Provider Identifier
1386701829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000001122
- Practice address
- 7323 Chapman Hwy Ste 170
Knoxville, TN 37920-6758 - Phone
- (865) 579-0599
- Fax
- (865) 851-7358
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TN | ||
| Physician Assistant | 363A00000X | 000001122 | TN | Primary |
Addresses
Primary practice location
7323 Chapman Hwy Ste 170
Knoxville, TN 37920-6758
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q011408 | Medicaid | TN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1122 | TN | MD | Occupational Therapist |
| 000001122 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Medicenter & Associates PLLC | Past | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| The Pulmonary and Sleep Consultants, LLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
7323 Chapman Hwy
Ste 170
Knoxville, TN 37920
Phone (865) 579-0599
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Urgent Care Clinic/Center
- Knoxville, TN
- NPI 1093139339
-
- Infusion Therapy Clinic/Center
- Knoxville, TN
- NPI 1891442380
-
- Clinic/Center
- Pigeon Forge, TN
- NPI 1063616407
-
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1174738421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1386701829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 DICK LONAS RD UNIT 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091383",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7323 CHAPMAN HWY STE 170",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379206758",
"telephone_number": "865-579-0599",
"fax_number": "865-851-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "000001122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q011408",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.