Active NPI
William N Cochran, PA-C
- Medical Physician Assistant
- Knoxville, TN
National Provider Identifier
1417939133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA0000000789
- Practice address
- 10404 Jackson Oaks Way
Knoxville, TN 37922-3293 - Phone
- (865) 223-5835
- NPI assigned
- Nov 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA0000000789 | TN | Primary |
Addresses
Primary practice location
10404 Jackson Oaks Way
Knoxville, TN 37922-3293
Mailing address
1733 Natalie Nehs Dr
Knoxville, TN 37931-4555
Phone (865) 384-6630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA0000000789 | Other | TN | STATE LIC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 789 | TN | MD | Occupational Therapy Assistant |
| PA0000000789 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gott Family Medical Clinic, LLC | Past | Accepting new patients | |
| Preston Michael | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
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- Knoxville, TN
- NPI 1952680043
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1417939133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 NATALIE NEHS DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379314555",
"telephone_number": "865-384-6630",
"fax_number": "865-690-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10404 JACKSON OAKS WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223293",
"telephone_number": "865-223-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "WILLIAM",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "PA0000000789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC NUMBER",
"identifier": "PA0000000789",
"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 Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.