Active NPI
Kelley Foster Hammitt, PA-C
- Physician Assistant
- Mountain Home, TN
National Provider Identifier
1740524180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2266
- Practice address
- Lamont Street and Veterans Way
Mountain Home, TN 37604 - Phone
- (423) 926-1171
- NPI assigned
- Nov 26, 2012
- Last updated
- Jan 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2266 | TN | Primary |
Addresses
Primary practice location
Lamont Street and Veterans Way
Mountain Home, TN 37604
Mailing address
2918 Antioch Rd
Johnson City, TN 37604-2813
Phone (423) 926-1171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100251670 | Medicaid | KY | |
| Q000294 | Medicaid | TN |
Other names 1
- Miss Kelley Shea Foster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1740524180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 ANTIOCH RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042813",
"telephone_number": "423-926-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAMONT STREET AND VETERANS WAY",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMITT",
"first_name": "KELLEY",
"middle_name": "FOSTER",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100251670",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000294",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "FOSTER",
"middle_name": "SHEA",
"prefix": "MISS",
"credential": "PA C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.