Kevin Blazer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA955 Issued in TN

Practice address

1928 Alcoa Hwy Ste 209
Knoxville, TN 37920-1504

Phone

(865) 524-2547

Fax

(865) 219-5070

NPI assigned

Jun 1, 2006

Last updated

Apr 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Dermatology Group PCGroup PAC ID 8123009636, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kblazer@aadermaffiliates.emadirect.md
• Direct secure messaging: kevinblazer@dakpc.allscriptsdirect.net

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.

• Knoxville Dermatology Group PC

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1760419014
  Medicare reassignment Care Compare group
• East Tennessee Dermatology Group, PC

  • Dermatology Physician
  • Alcoa, TN
  • NPI 1891050407
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  Physician Assistant

  NPD (past)
• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1861439648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE 209",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201504",
            "telephone_number": "865-524-2547",
            "fax_number": "865-219-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11416 Grigsby Chapel Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379341649",
            "country_code": "US",
            "telephone_number": "865-675-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7557 Dannaher Dr Ste G20",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378491517",
            "country_code": "US",
            "telephone_number": "865-362-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Dowell Springs Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092448",
            "country_code": "US",
            "telephone_number": "865-524-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAZER",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513364",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Martin Blanton, PA
• Terra Jo Blanton, OTRL
• Taylor Louise Blas
• Anita Marie Blatnik, APN
• Erin Carly Blazer
• Brandy D Bledsoe, APRN, BC
• Theresa Bledsoe, RN
• Aliezah Blevins
• Amanda Lea Harrell Blevins, APRN, FNP-BC
• Amy Lea Blevins, APRN

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.