Jonna Leeann Pittman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0000004519 Issued in TN

Practice address

1010 Petit LN
Wartburg, TN 37887-3619

Phone

(606) 706-1152

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Loma Linda University School of Medicine

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medicine West PLLCGroup PAC ID 7618126608, 9 clinicians

Palliative Care Services, PLLCGroup PAC ID 1052588977, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Family Medicine West PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1083962815
  Medicare reassignment Care Compare group
• Palliative Care Services, PLLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1467721183
  Medicare reassignment Care Compare group
• Family Medicine West PLLC

  dba Family Medicine West of Wartburg

  • Rural Health Clinic/Center
  • Wartburg, TN
  • NPI 1902292865
  NPD

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1750059101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PETIT LN",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378873619",
            "telephone_number": "606-706-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PETIT LN",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378873619",
            "telephone_number": "606-706-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JONNA",
        "middle_name": "LEEANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "0000004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeanna Noe Woods, LPC-MHSP
• Timothy Sutton Ochs, CRNA, APN
• Peak Performance Rehabilitation, Inc
• Andrea Rose Pease, PHARMD
• Pink Coyote, Inc.
• Jennie Reagan, CCC-SLP
• Meagan Elizabeth Redmon, MSN, FNP-BC
• Kimberly Rinks, PMHNP
• Kayla Renea Ruppe, OTA/L
• Autum Marie Salsbury, FNP-C

• Medical Physician Assistant in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.