Active NPI
Hannah P Kirk, PA-C
- Medical Physician Assistant
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2410 Susannah St
Johnson City, TN 37601-1748 - Phone
- (423) 282-9011
- Fax
- (423) 282-0035
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 2731 | TN | |
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
2410 Susannah St
Johnson City, TN 37601-1748
Mailing address
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Other practice location 1
1132 Erwin Hwy
Greeneville, TN 37745-4405
Phone (423) 282-9011
Other practice location 2
875 Larry Neil Way
Kingsport, TN 37660-6368
Phone (423) 282-9011
Other practice location 3
340 Steeles Rd
Bristol, TN 37620-9532
Phone (423) 282-9011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q14561 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
1021 Coolidge St
Greeneville, TN 37743-5986
150 E Broadway
Newport, TN 37821-2329
Phone (423) 636-2750
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435
420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813
Hospital & facility affiliations
- Amedisys Home Health Care
- Greeneville Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2731 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Orthopaedics PLC | Physician Assistant | Current | Accepting new patients |
| Watauga Orthopaedics, PLC | Physician Assistant | Current | Accepting new patients |
| State of Franklin Healthcare Associates PLLC | Past | Accepting new patients |
Locations
340 Steeles Rd
Bristol, TN 37620
Phone (423) 282-9011
2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011
875 Larry Neil Way
Kingsport, TN 37660
Phone (423) 282-9011
Interoperability endpoints
- hannah.kirk.1@3374.direct.athenahealth.com
- hannah.kirk.1@24871.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Johnson City, TN
- NPI 1245251404
Physician Assistant
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
-
- Durable Medical Equipment & Medical Supplies
- Greeneville, TN
- NPI 1730924192
Physician Assistant
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Morristown, TN
- NPI 1639127319
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1497145403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SUSANNAH ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011748",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 SUSANNAH ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011748",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
}
],
"practiceLocations": [
{
"address_1": "1132 Erwin Hwy",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454405",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 Larry Neil Way",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606368",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Steeles Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376209532",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRK",
"first_name": "HANNAH",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2731",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q14561",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.