Individual provider Active NPI

Michael Schoonover, PA

  • Physician Assistant
  • Oak Ridge, TN
National Provider Identifier
1508492877
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5324 Issued in TN
Practice address
441 S Illinois Ave
Oak Ridge, TN 37830-7510
Phone
(865) 685-0767
Fax
(865) 685-0097
NPI assigned
Mar 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09733 NC
Physician Assistant 363A00000X 5324 TN Primary

Addresses

Primary practice location

441 S Illinois Ave
Oak Ridge, TN 37830-7510

Mailing address

441 S Illinois Ave
Oak Ridge, TN 37830-7510
Phone (865) 685-0767

Other practice location 1

7557 Dannaher Dr Ste G20
Powell, TN 37849-1517
Phone (865) 362-8507

Other practice location 2

1928 Alcoa Hwy Ste 209
Knoxville, TN 37920-1504
Phone (865) 524-2547

Other practice location 3

123 Fox Rd
Knoxville, TN 37922-3369
Phone (865) 690-9467

Other practice location 4

657 Middle Creek Rd Ste 114
Sevierville, TN 37862-5014
Phone (865) 690-9467

Other practice location 5

3334 Boylston Hwy
Mills River, NC 28759
Phone (828) 694-8100

Other practice location 6

1450 Dowell Springs Blvd Ste 210
Knoxville, TN 37909-2448
Phone (865) 524-2547

Other practice location 7

2695 Hendersonville Rd
Arden, NC 28704-8576
Phone (828) 651-6350

Other practice location 8

212 Thompson St
Hendersonville, NC 28792-2841
Phone (828) 697-3232

Other identifiers 1

IdentifierTypeStateIssuer
0010-09733OtherNCNORTH CAROLINA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200420002828 NC Practitioner - Physician Assistant 5496185159 Reassigns benefits to 2 organizations
I20230403001202 TN Practitioner - Physician Assistant 5496185159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Dermatology Group PCGroup PAC ID 8123009636, 29 clinicians

Practice addresses (Care Compare)

123 Fox Rd
Knoxville, TN 37922-3369
Phone (865) 690-9467

657 Middle Creek Rd
Sevierville, TN 37862-5014
Phone (865) 690-9467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5324TNMDOccupational Therapist
0010-09733NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 31, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 31, 2023 Accepting new patients
Dermatology Associates of Knoxville, PC Past Accepting new patients
Henderson County Hospital Corporation Past Accepting new patients

Locations

441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767

Interoperability endpoints

  • Direct secure messaging: mschoonover@aadermaffiliates.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1508492877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S ILLINOIS AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307510",
            "telephone_number": "865-685-0767",
            "fax_number": "865-685-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S ILLINOIS AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307510",
            "telephone_number": "865-685-0767",
            "fax_number": "865-685-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7557 Dannaher Dr Ste G20",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378491517",
            "country_code": "US",
            "telephone_number": "865-362-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 Alcoa Hwy Ste 209",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201504",
            "country_code": "US",
            "telephone_number": "865-524-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Fox Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223369",
            "country_code": "US",
            "telephone_number": "865-690-9467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 Middle Creek Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625014",
            "country_code": "US",
            "telephone_number": "865-690-9467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3334 Boylston Hwy",
            "address_purpose": "LOCATION",
            "city": "Mills River",
            "state": "NC",
            "postal_code": "28759",
            "country_code": "US",
            "telephone_number": "828-694-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Dowell Springs Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092448",
            "country_code": "US",
            "telephone_number": "865-524-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048576",
            "country_code": "US",
            "telephone_number": "828-651-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287922841",
            "country_code": "US",
            "telephone_number": "828-697-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09733",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "0010-09733",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.