Ronda K Pyles, PA-C
Individual provider Active NPI Physician Assistant · La Follette, TN
NPI 1689613705 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1689613705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 588 (TN)
- Practice address
- 923 E Central Ave
La Follette, TN 37766-2768 - Phone
- (423) 907-1200
- Fax
- (865) 291-3228
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DX Mso PLLC
Practice addresses (Care Compare)
5150 N Broadway St
Knoxville, TN 37918-2342
Phone (423) 458-1426
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050809000934 | TN | Practitioner - Physician Assistant | 8224067343 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 588 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients | |
| Neighborhood Medical LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 588 | TN | Yes |
Addresses
Primary practice location
923 E Central Ave
La Follette, TN 37766-2768
Mailing address
PO Box 787
Jacksboro, TN 37757-0787
Phone (423) 449-9079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4110213 | Other | TN | BCBS |
Other providers in La Follette, TN
- Mandy Pollack
- Gloria Joann Poppy
- Monica Lynn Prater
- Shane Prater
- Jessie Leigh Presnell
- Brenda J. Quillen
- Jared H Ray
- Realign Chiropractic,LLC
- Janna Ivens Reed
- Dakota Reese
All providers in La Follette, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.