NPIMap

Individual provider Active NPI

Danielle Wing, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1699230904
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4591 Issued in TN
Practice address
6408 Papermill Dr
Knoxville, TN 37919-4858
Phone
(865) 588-8229
Fax
(865) 212-0163
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4591 TN
Physician Assistant 363A00000X 4591 TN Primary

Addresses

Primary practice location

6408 Papermill Dr
Knoxville, TN 37919-4858

Mailing address

PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5700

Other identifiers 1

IdentifierTypeStateIssuer
Q068951MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190416000866 NC Practitioner - Physician Assistant 1254672470 Reassigns benefits to 2 organizations
I20210901000946 TN Practitioner - Physician Assistant 1254672470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Surgical Associates PLLCGroup PAC ID 1254224181, 61 clinicians

Practice addresses (Care Compare)

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 541-1100

6408 Papermill Dr
Knoxville, TN 37919-4858
Phone (865) 588-8229

9352 Parkwest Blvd
Knoxville, TN 37923-4325
Phone (865) 690-5263

9430 Parkwest Blvd
Suite 310
Knoxville, TN 37923-4203
Phone (865) 690-5263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
64.09
Promoting interoperability
98
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4591TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Apr 1, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Apr 1, 2019 Accepting new patients
University Health System Inc CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Apr 1, 2019 Accepting new patients
University Health System, Inc CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 1, 2019 Accepting new patients

Locations

1001 Blythe Blvd
Ste 300
Charlotte, NC 28203

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1237 Harding Pl
Ste 4300
Charlotte, NC 28204

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1699230904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52948",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502948",
            "telephone_number": "865-306-5700",
            "fax_number": "865-584-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194858",
            "telephone_number": "865-588-8229",
            "fax_number": "865-212-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "DANIELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "4591",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q068951",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.