Individual provider Active NPI

Julie E. Carson, PA-C, MHS

  • Medical Physician Assistant
  • Crossville, TN
National Provider Identifier
1639324023
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7181 Issued in TN
Practice address
29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Phone
(931) 484-6061
Fax
(931) 614-7523
NPI assigned
Nov 26, 2008
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 7181 TN
Medical Physician Assistant 363AM0700X 7181 TN Primary

Addresses

Primary practice location

29 Taylor Ave Ste 101
Crossville, TN 38555-4536

Mailing address

29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Phone (931) 484-6061

Other practice location 1

29 Taylor Ave Ste 210
Crossville, TN 38555-4537
Phone (931) 484-6061

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10997MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Dermatology, P.C. CurrentSince Sep 14, 2026 Accepting new patients
Allina Health System CurrentSince Oct 30, 2017 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System CurrentSince Oct 30, 2017 Accepting new patients
Pennsylvania Dermatology Partners Inc PastSince Apr 1, 2019 Accepting new patients
Steven R Weasen Past Accepting new patients
Southern Dermatology, P.a. PastSince Oct 1, 2019 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7840 Vinewood Ln N
Maple Grove, MN 55369
Phone (763) 236-0200

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

29 Taylor Ave
Ste 101
Crossville, TN 38555
Phone (931) 484-6061

29 Taylor Ave
Ste 210
Crossville, TN 38555
Phone (931) 707-5313

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, 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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1639324023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554536",
            "telephone_number": "931-484-6061",
            "fax_number": "931-614-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554536",
            "telephone_number": "931-484-6061",
            "fax_number": "931-614-7523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Taylor Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554537",
            "country_code": "US",
            "telephone_number": "931-484-6061",
            "fax_number": "931-614-7523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JULIE",
        "middle_name": "E.",
        "credential": "PA-C, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "7181",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.