Individual provider Active NPI

Austin Reed Knight, PA-C

  • Physician Assistant
  • Pontotoc, MS
National Provider Identifier
1427689751
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00502 Issued in MS
Practice address
11 E Jefferson St
Pontotoc, MS 38863-2807
Phone
(662) 538-7631
NPI assigned
Jan 27, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 PA00502 MS Primary

Addresses

Primary practice location

11 E Jefferson St
Pontotoc, MS 38863-2807

Mailing address

PO Box 507
Pontotoc, MS 38863-0507
Phone (662) 499-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20201022000950 MS Practitioner - Physician Assistant 9234559725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chris Park DO PCGroup PAC ID 6204258064, 2 clinicians

Practice addresses (Care Compare)

47 S Main St
Pontotoc, MS 38863-2823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
71.9
Improvement activities
40
Cost
87.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00502MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lauderdale Medical Group PLLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

11 E Jefferson St
Pontotoc, MS 38863
Phone (662) 419-1260

Interoperability endpoints

  • Direct secure messaging: aknight175632@ummc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFDBCD/Endpoint/BFDBCD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1427689751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388630507",
            "telephone_number": "662-499-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E JEFFERSON ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632807",
            "telephone_number": "662-538-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "AUSTIN",
        "middle_name": "REED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontotoc, MS

Sources for this page

Verify at the official NPI Registry.