Lawrence S. Dewitte, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2326 Issued in TN

Practice address

1410 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-5821

Phone

(423) 638-1291

Fax

(423) 638-9398

NPI assigned

Jan 16, 2008

Last updated

Apr 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1497931810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455821",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455821",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITTE",
        "first_name": "LAWRENCE",
        "middle_name": "S.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103020",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Denney
• Amanda Dawn Denton, LMSW
• Sarah E. Devault, PMHNP
• Jeremy Shane Devoti, PT
• Karen A. Dewitt, NP
• Kaitlyn Diddle
• Krislee Dee Dier
• Michele Lynn Dietz
• Robert C Diez Daux, MD
• Michelle K Dilks, DO

• Medical Physician Assistant in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.