Individual provider Active NPI

Erin Groh Kimble, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1881147130
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7970 Issued in TN
Practice address
4707 Papermill Dr Ste 200
Knoxville, TN 37909-1907
Phone
(865) 602-7983
Fax
(865) 602-7984
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7970 GA
Physician Assistant 363A00000X 7970 TN Primary

Addresses

Primary practice location

4707 Papermill Dr Ste 200
Knoxville, TN 37909-1907

Mailing address

4707 Papermill Dr Ste 200
Knoxville, TN 37909-1907
Phone (865) 602-7983

Other practice location 1

4890 Roswell Rd
Suite 100
Atlanta, GA 30342-2644
Phone (404) 351-7467

Other names 1

  • Erin Michelle Groh Former name

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
I20180517000865 TN Practitioner - Physician Assistant 4486942190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Consultants, PLLCGroup PAC ID 1951478502, 7 clinicians

Practice addresses (Care Compare)

4707 Papermill Dr
Knoxville, TN 37909-1907
Phone (865) 602-7983

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7970GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abercrombie Radiological Consultants Inc PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1881147130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 PAPERMILL DR STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091907",
            "telephone_number": "865-602-7983",
            "fax_number": "865-602-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 PAPERMILL DR STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091907",
            "telephone_number": "865-602-7983",
            "fax_number": "865-602-7984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4890 Roswell Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303422644",
            "country_code": "US",
            "telephone_number": "404-351-7467",
            "fax_number": "404-352-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "ERIN",
        "middle_name": "GROH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7970",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GROH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.