Individual provider Active NPI

Benjamin Keith Hale, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1891076873
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Phone
(888) 203-1274
NPI assigned
Sep 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984

Mailing address

1 Trillium Way
Corbin, KY 40701-8727

Other practice location 1

6216 Highland Place Way Ste 102
Knoxville, TN 37919-4068
Phone (865) 470-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111015000056 KY Practitioner - Physician Assistant 5890967913 Reassigns benefits to 5 organizations
I20250325002086 TN Practitioner - Physician Assistant 5890967913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encore Wound Care - Kentucky, LLCGroup PAC ID 2264874866, 11 clinicians
Medadvance PLLCGroup PAC ID 5698291078, 6 clinicians

Practice addresses (Care Compare)

2277 Thunderstick Dr
Suite 300
Lexington, KY 40505-4877
Phone (502) 552-3879

6216 Highland Place Way
Suite 102
Knoxville, TN 37919-4068
Phone (440) 582-8748

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Emergency Services Associates, PLLC Physician Assistant Past Accepting new patients

Organizations & group practices 8

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1891076873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321984",
            "telephone_number": "888-203-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 Highland Place Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194068",
            "country_code": "US",
            "telephone_number": "865-470-6121",
            "fax_number": "866-549-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "BENJAMIN",
        "middle_name": "KEITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.