Active NPI
Kevin Rojas, PHYSICAN ASSISTANT P
- Surgical Physician Assistant
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2768
- Practice address
- 1420 Tusculum Blvd FL 4
Greeneville, TN 37745-4279 - Phone
- (423) 783-5510
- Fax
- (423) 783-5515
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2768 | TN | Primary |
| Physician Assistant | 363A00000X | 2768 | TN |
Addresses
Primary practice location
1420 Tusculum Blvd FL 4
Greeneville, TN 37745-4279
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730239476 | Other | TN | NPI |
| 3370042 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150819007491 | TN | Practitioner - Physician Assistant | 8022004712 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmont Medical Associates Inc
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
1424 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 636-2300
Hospital & facility affiliations
- Ballad Health Homecare
- Greeneville Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2768 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Southwest Dallas Orthopedic Asst PA | Past | Accepting new patients | |
| Carewell Kidney Doctors PLLC | Past | Accepting new patients | |
| Wellmont Medical Associates Inc | Past | Accepting new patients | |
| Southwest Regional Orthopedic Sports Medicine | Past | Accepting new patients |
Locations
438 E Vann Rd
Ste 301
Greeneville, TN 37743
Phone (423) 278-1650
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Kingsport, TN
- NPI 1598124398
-
- Nephrology Physician
- Irving, TX
- NPI 1851631204
-
- Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1972658680
-
- Orthopaedic Surgery Physician
- Waxahachie, TX
- NPI 1831249499
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greeneville, TN
- NPI 1396717963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1730239476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 TUSCULUM BLVD FL 4",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377454279",
"telephone_number": "423-783-5510",
"fax_number": "423-783-5515"
}
],
"practiceLocations": [
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROJAS",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "PHYSICAN ASSISTANT P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "2768",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2768",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730239476",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3370042",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.