Individual provider Active NPI

Jamie Anne Knott, PA

  • Physician Assistant
  • Southaven, MS
National Provider Identifier
1467224246
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13780 Issued in NC
Practice address
7600 Airways Blvd Ste a
Southaven, MS 38671-5138
Phone
(901) 747-0040
NPI assigned
Oct 25, 2023
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13780 NC Primary
Physician Assistant 363A00000X 6619 TN
Physician Assistant 363A00000X PA00929 MS

Addresses

Primary practice location

7600 Airways Blvd Ste a
Southaven, MS 38671-5138

Mailing address

447 Josephine St
Memphis, TN 38111-1813

Other practice location 1

55 Humphreys Center Dr Ste 200
Memphis, TN 38120-2366
Phone (901) 747-0040

Other practice location 2

9915 Park Cedar Dr
Charlotte, NC 28210-8905
Phone (704) 544-3263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240221002229 NC Practitioner - Physician Assistant 1759725435
I20251002001812 TN Practitioner - Physician Assistant 1759725435 Reassigns benefits to 2 organizations
I20251105001475 MS Practitioner - Physician Assistant 1759725435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Clinic Associates PLLCGroup PAC ID 4486610664, 10 clinicians

Practice addresses (Care Compare)

55 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2366
Phone (901) 747-0040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00929MSMDPhysician Assistant
6619TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Clinic Associates PLLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

7600 Airways Blvd
Ste A
Southaven, MS 38671
Phone (662) 349-1000

55 Humphreys Center Dr
Ste 200
Memphis, TN 38120

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, 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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1467224246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 JOSEPHINE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381111813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD STE A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "901-747-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Humphreys Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202366",
            "country_code": "US",
            "telephone_number": "901-747-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9915 Park Cedar Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108905",
            "country_code": "US",
            "telephone_number": "704-544-3263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "JAMIE",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13780",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6619",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.