Individual provider Active NPI

Elizabeth Reed, PA

  • Physician Assistant
  • Greeneville, TN
National Provider Identifier
1770502189
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1313 Issued in TN
Practice address
438 E Vann Rd
Suite 201
Greeneville, TN 37743-7202
Phone
(423) 278-1825
NPI assigned
Jul 18, 2006
Last updated
Feb 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1313 TN Primary

Addresses

Primary practice location

438 E Vann Rd
Suite 201
Greeneville, TN 37743-7202

Mailing address

438 E Vann Rd
Suite 201
Greeneville, TN 37743-7202
Phone (423) 278-1825

Other identifiers 2

IdentifierTypeStateIssuer
010260035MedicaidVA
3664164MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20060202000766 TN Practitioner - Physician Assistant 6002820677 Reassigns benefits to 1 organization
I20230803003865 VA Practitioner - Physician Assistant 6002820677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Vein Center PLLCGroup PAC ID 2264727627, 16 clinicians

Practice addresses (Care Compare)

1229 Fox Meadows Blvd
Suite 2
Sevierville, TN 37862-6925
Phone (865) 437-3977

328 Cummings St
Suite a
Abingdon, VA 24210-3245
Phone (276) 477-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1313TNMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Vein Center PLLC CurrentSince Jul 23, 2018 Accepting new patients
Legacy Vein Center PLLC CurrentSince Jul 23, 2018 Accepting new patients
Takoma Regional Hospital, Inc Past Accepting new patients
East Tennessee Hematology/Oncology Assoc P.C. Past Accepting new patients
Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services Past Accepting new patients

Locations

7305 Jarnigan Rd
Ste 260
Chattanooga, TN 37421
Phone (423) 648-0380

310 N State of Franklin Rd
Ste 102
Johnson City, TN 37604
Phone (423) 431-3600

310 N State of Franklin Rd
Ste 103
Johnson City, TN 37604
Phone (423) 232-8301

4 Sheridan Sq
Ste 102
Kingsport, TN 37660
Phone (423) 246-8196

6 Sheridan Sq
Ste 100
Kingsport, TN 37660
Phone (423) 228-0163

1400 Dowell Springs Blvd
Ste 100
Knoxville, TN 37909
Phone (865) 888-9494

4327 W Andrew Johnson Hwy
Ste 4
Morristown, TN 37814
Phone (423) 714-0880

800 Oak Ridge Tpke
Ste C260
Oak Ridge, TN 37830
Phone (865) 234-1090

1229 Fox Meadows Blvd
Ste 2
Sevierville, TN 37862
Phone (865) 365-4015

328 Cummings St
Ste A
Abingdon, VA 24210
Phone (276) 477-4600

Organizations & group practices 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1770502189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E VANN RD",
            "address_2": "SUITE 201",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-278-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E VANN RD",
            "address_2": "SUITE 201",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-278-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010260035",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3664164",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.