Kierstin Elizabeth Lawson, PA-C
Individual provider Active NPI Physician Assistant · Harrogate, TN
NPI 1841015252 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1841015252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 6178 (TN)
- Practice address
- PO Box 750
Harrogate, TN 37752-0750 - Phone
- (423) 869-3684
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Lincoln Memorial University Medical Department, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medical Clinic of Harrogate, P.C.
Practice addresses (Care Compare)
170 Beech St
Suite 1
Harrogate, TN 37752-8251
Phone (423) 869-3684
Hospital & facility affiliations
- Claiborne Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250116000025 | TN | Practitioner - Physician Assistant | 9335677517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6178 | TN | Yes |
Addresses
Primary practice location
PO Box 750
Harrogate, TN 37752-0750
Mailing address
481 Highway 131
Thorn Hill, TN 37881-5036
Phone (865) 585-0845
Other names
- Kierstin Elizabeth Moyers
Other providers in Harrogate, TN
- Caroline Kincaid
- Akinchita Kumar
- Georgia Wells Laguerre
- Ashlyn Larsen Lanford
- Elizabeth Anne Larew
- Sarah Elizabeth Lawson
- Devika Leigh Lay
- Joshua O Leatherwood
- Lindsey Taylor Lewis
- Roger Lewis Jr.
All providers in Harrogate, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.