Kevin Andrew Tawzer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000002930 Issued in TN

Practice address

2358 Lifestyle Way
Suite 212
Chattanooga, TN 37421-2291

Phone

(423) 521-1104

NPI assigned

Aug 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in GA, TN2 enrollments

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 2

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 8224118773, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rhea Medical Center Hospital, Dayton, TN, CCN 441310

Merit-based Incentive Payment System (MIPS)

Final score

79.32 of 100Reported as group

Quality

64.03

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kevin.tawzer@sccdc.gadirect.net

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.

• Skin Cancer and Cosmetic Dermatology Center PC

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1144419458
  Medicare reassignment Care Compare group
• Skin Cancer & Cosmetic Dermatology Center, PC

  • Dermatology Physician
  • Dalton, GA
  • NPI 1376605394
  Medicare reassignment

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

• Rhea Medical Center

  • Critical Access Hospital
  • Dayton, TN
  • NPI 1811987084
  Care Compare affiliation

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1740735992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BATTLEFIELD CROSSING CT",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365176",
            "telephone_number": "706-277-7311",
            "fax_number": "706-529-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY",
            "address_2": "SUITE 212",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212291",
            "telephone_number": "423-521-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWZER",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000002930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "1107 Memorial Drive",
            "address_2": "Suite 201",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jychung@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
            "address_1": "2358 Lifestyle Way",
            "address_2": "Suite 212",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374212291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sidney Rhiannon Tate
• Nikki Reynolds Tatum, LCSW
• Patrisha Faye Tatum, LCSW
• Rachel Anna Taubenheim, PSY.D..
• Yankarlos Taveras, BCBA
• April L Taylor, LPC
• Ashley Brooke Taylor
• Ashley Nacole Taylor, DPT
• Aubrie Anne Taylor, BA
• Cole Ethan Taylor, NP

• Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.

Verify at the official NPI Registry.