Individual provider Active NPI

Andrew Venable, PA

  • Physician Assistant
  • Madisonville, TN
National Provider Identifier
1912605262
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5388 Issued in TN
Practice address
4233 Highway 411
Madisonville, TN 37354-1571
Phone
(423) 884-1950
NPI assigned
Feb 16, 2023
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 5388 TN Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 000000-850 TN

Addresses

Primary practice location

4233 Highway 411
Madisonville, TN 37354-1571

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

8635 Middlebrook Pike
Knoxville, TN 37923-1612
Phone (865) 824-0079

Other practice location 2

125 Town Creek Rd E Ste 3
Lenoir City, TN 37772-5690
Phone (865) 986-2700

Other identifiers 2

IdentifierTypeStateIssuer
1204238OtherNCCPA
Q082011MedicaidTN

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
I20230411001789 TN Practitioner - Physician Assistant 3375918055 Reassigns benefits to 6 organizations

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
Tennessee Foot and Ankle Clinic, Inc.Group PAC ID 6901840131, 2 clinicians
Access Medical Care of Monroe County PCGroup PAC ID 5496059107, 6 clinicians

Practice addresses (Care Compare)

125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5690
Phone (865) 986-2700

4228 Hwy 411
Madisonville, TN 37354-1562
Phone (865) 986-2700

4233 Hwy 411
Madisonville, TN 37354-1571
Phone (423) 442-8084

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000-850TNMDFoot & Ankle Surgery Podiatrist
5388TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

8635 Middlebrook Pike
Knoxville, TN 37923
Phone (865) 824-0079

Interoperability endpoints

  • Direct secure messaging: andrew.venable.1@12911.direct.athenahealth.com

Organizations & group practices 7

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.

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1912605262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541571",
            "telephone_number": "423-884-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8635 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231612",
            "country_code": "US",
            "telephone_number": "865-824-0079",
            "fax_number": "833-908-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Town Creek Rd E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725690",
            "country_code": "US",
            "telephone_number": "865-986-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENABLE",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5388",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "000000-850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1204238",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q082011",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.