Individual provider Active NPI

Adam Benjamin Uniacke

  • Physician Assistant
  • Sevierville, TN
National Provider Identifier
1841998176
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone
(865) 428-2773
NPI assigned
Feb 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 Primary

Addresses

Primary practice location

1787 Veterans Blvd
Sevierville, TN 37862-6945

Mailing address

708 Eleanor St
Knoxville, TN 37917-7224
Phone (267) 984-1163

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230317001957 TN Practitioner - Physician Assistant 5799159505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

5150 N Broadway St
Knoxville, TN 37918-2342
Phone (423) 458-1426

6108 Kingston Pike
Knoxville, TN 37919-4019
Phone (423) 458-1426

700 N Campbell Station Rd
Farragut, TN 37934-1602
Phone (423) 458-1426

713 Winfield Dunn Pkwy
Suite 9
Sevierville, TN 37876-5533
Phone (423) 458-1426

7564 Chapman Hwy
Knoxville, TN 37920-6684
Phone (423) 458-1426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5430TNMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC Past Accepting new patients
Chuc, LLC Physician Assistant PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1841998176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 ELEANOR ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177224",
            "telephone_number": "267-984-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-428-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNIACKE",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.