Individual provider Active NPI

Megan McMannon, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1396625620
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6516 Kingston Pike Apt 318
Knoxville, TN 37919-4825
Phone
(865) 450-9361
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6516 Kingston Pike Apt 318
Knoxville, TN 37919-4825

Mailing address

6516 Kingston Pike Apt 318
Knoxville, TN 37919-4825

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
I20251218002230 TN Practitioner - Physician Assistant 6406341346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Institute of Dermatology PLLCGroup PAC ID 7719072644, 13 clinicians

Practice addresses (Care Compare)

3001 W Andrew Johnson Hwy
Morristown, TN 37814-3614
Phone (865) 450-9361

6516 Kingston Pike
Knoxville, TN 37919-4825
Phone (865) 450-9361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6799TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Institute of Dermatology PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

6516 Kingston Pike
Knoxville, TN 37919
Phone (865) 450-9361

6516 Kingston Pike
Apt 318
Knoxville, TN 37919
Phone (865) 450-9361

Dept 888213
Knoxville, TN 37995

1018 Highway 321 N
Lenoir City, TN 37771
Phone (865) 986-4450

3001 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 581-0360

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1396625620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 KINGSTON PIKE APT 318",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 KINGSTON PIKE APT 318",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194825",
            "telephone_number": "865-450-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANNON",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.