Individual provider Active NPI

Caroline Bond Swann, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1720332232
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2253 Issued in TN
Practice address
1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434
Phone
(865) 546-5111
NPI assigned
Nov 6, 2012
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 6637 GA
Physician Assistant 363A00000X 2253 TN Primary

Addresses

Primary practice location

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434

Mailing address

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2434
Phone (865) 546-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swanoline.bond@covenanthealth.cernerdirect.comn.car

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150102000041 TN Practitioner - Physician Assistant 5496906349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Heart Group, Inc.Group PAC ID 4284761917, 20 clinicians

Practice addresses (Care Compare)

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 546-5111

380 W Broadway Blvd
Jefferson City, TN 37760-2602
Phone (865) 546-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2253TNMDMarriage & Family Therapist
6637GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Heart Group PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: swanoline.bond@covenanthealth.cernerdirect.comn.car

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.

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": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1720332232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "SUITE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162434",
            "telephone_number": "865-546-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "SUITE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162434",
            "telephone_number": "865-546-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANN",
        "first_name": "CAROLINE",
        "middle_name": "BOND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6637",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swanoline.bond@covenanthealth.cernerdirect.comn.car",
            "affiliation": "N",
            "address_1": "1819 W Clinch Ave",
            "address_2": "Suite 108",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.