Individual provider Active NPI

Jonah Duggins

  • Physician Assistant
  • Oak Ridge, TN
National Provider Identifier
1578444154
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6721 Issued in TN
Practice address
575 Oak Ridge Tpke Ste 120
Oak Ridge, TN 37830-7173
Phone
(865) 483-5678
Fax
(865) 483-4027
NPI assigned
Sep 10, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 6721 TN Primary

Addresses

Primary practice location

575 Oak Ridge Tpke Ste 120
Oak Ridge, TN 37830-7173

Mailing address

575 Oak Ridge Tpke Ste 120
Oak Ridge, TN 37830-7173

Other practice location 1

10133 Sherrill Blvd Ste 210
Knoxville, TN 37932-3775
Phone (865) 686-5000

Other practice location 2

303 Medical Park Dr
Lenoir City, TN 37772-6473
Phone (865) 271-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6721TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Central Pediatrics, Inc. PastSince Sep 14, 2025 Accepting new patients
Pediatric Consultants of Lenoir City Past Accepting new patients

Organizations & group practices 2

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1578444154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 OAK RIDGE TPKE STE 120",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 OAK RIDGE TPKE STE 120",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307173",
            "telephone_number": "865-483-5678",
            "fax_number": "865-483-4027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10133 Sherrill Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379323775",
            "country_code": "US",
            "telephone_number": "865-686-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377726473",
            "country_code": "US",
            "telephone_number": "865-271-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGINS",
        "first_name": "JONAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.