Individual provider Active NPI

Ashley Y Greene, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1811916612
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6031 Issued in TN
Practice address
9125 Cross Park Dr Ste 200
Knoxville, TN 37923-4563
Phone
(865) 632-5900
Fax
(865) 374-2129
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8622 AZ
Physician Assistant 363A00000X PA-1113 AR
Surgical Physician Assistant 363AS0400X 10000417A IN
Physician Assistant 363A00000X 6031 TN Primary
Physician Assistant 363A00000X 21961-875 WI
Physician Assistant 363A00000X 5688 SC

Addresses

Primary practice location

9125 Cross Park Dr Ste 200
Knoxville, TN 37923-4563

Mailing address

9125 Cross Park Dr Ste 200
Knoxville, TN 37923-4563
Phone (865) 632-5900

Other practice location 1

8433 Harcourt Road
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Other practice location 2

2460 S Parkview Loop Ste 203
Yuma, AZ 85364-5358
Phone (928) 336-2619

Other practice location 3

1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900

Other practice location 4

4301 W Markham St # 616
Little Rock, AR 72205-7101
Phone (501) 686-5311

Other identifiers 4

IdentifierTypeStateIssuer
7374PAMedicaidSC
970012674OtherRAILROAD MEDICARE
Q093986MedicaidTN
000000374069OtherBCBS PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greene.ashley.york@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI, AR, TN, SC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211025003055 AZ Practitioner - Physician Assistant 3173659851 Reassigns benefits to 1 organization
I20220309001453 WI Practitioner - Physician Assistant 3173659851 Reassigns benefits to 2 organizations
I20230201000740 AR Practitioner - Physician Assistant 3173659851 Reassigns benefits to 2 organizations
I20241118000390 TN Practitioner - Physician Assistant 3173659851 Reassigns benefits to 2 organizations
I20250310001228 SC Practitioner - Physician Assistant 3173659851 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
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
East Tennessee Cardiovascular Surgery Group PCGroup PAC ID 6608934203, 20 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

9330 Park W Blvd
Suite 100
Knoxville, TN 37923-4309
Phone (865) 632-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21961-875WIMDPhysician Assistant
6031TNMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Nov 9, 2022 Accepting new patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Feb 28, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 28, 2022 Accepting new patients
Corvasc MDS PC Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Nov 9, 2022 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Feb 28, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Nov 9, 2022 Accepting new patients
Self Medical Group CurrentSince Feb 1, 2025 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 28, 2022 Accepting new patients

Locations

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#616
Little Rock, AR 72205
Phone (501) 686-5311

75 Remittance Dr
Dept 6764
Chicago, IL 60675

8402 Harcourt Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-3100

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8333 Naab Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-3333

1506 Spring St
Greenwood, SC 29646
Phone (864) 227-3117

104 Wells Ave
Greenwood, SC 29646

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Interoperability endpoints

  • Direct secure messaging: greene.ashley.york@covenanthealth.cernerdirect.com
  • Direct secure messaging: agreene543688@selfregional.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1811916612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234563",
            "telephone_number": "865-632-5900",
            "fax_number": "865-374-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234563",
            "telephone_number": "865-632-5900",
            "fax_number": "865-374-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8433 Harcourt Road",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602193",
            "country_code": "US",
            "telephone_number": "317-583-7600",
            "fax_number": "317-583-7601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 S Parkview Loop Ste 203",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853645358",
            "country_code": "US",
            "telephone_number": "928-336-2619",
            "fax_number": "928-336-2618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464071",
            "country_code": "US",
            "telephone_number": "864-725-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 616",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5311",
            "fax_number": "501-686-5935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ASHLEY",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8622",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1113",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000417A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6031",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "21961-875",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7374PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970012674",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q093986",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000374069",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greene.ashley.york@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9125 Cross Park Dr Ste 200",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.