NPIMap

Individual provider Active NPI

Ralph Russell Dailey IV, P.A.

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1912949975
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1209 Issued in TN
Practice address
7211 Wellington Dr
Knoxville, TN 37919-5968
Phone
(865) 584-4747
Fax
(865) 584-1363
NPI assigned
Jun 12, 2006
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 0010-10648 NC
Physician Assistant 363A00000X 1209 TN Primary

Addresses

Primary practice location

7211 Wellington Dr
Knoxville, TN 37919-5968

Mailing address

1225 E Weisgarber Rd Ste 200
Knoxville, TN 37909-2675
Phone (865) 584-4747

Other practice location 1

4515 Premier Dr Ste 201
High Point, NC 27265-8356
Phone (336) 802-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041122001293 TN Practitioner - Physician Assistant 3779548425 Reassigns benefits to 1 organization
I20230502002579 NC Practitioner - Physician Assistant 3779548425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1814 Westchester Dr
High Point, NC 27262-7369
Phone (336) 702-1355

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1209TNMDClinical Social Worker
0010-10648NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince May 21, 2023 Accepting new patients
Wake Forest Health Network LLC CurrentSince May 8, 2023 Accepting new patients
Wake Forest Health Network, LLC CurrentSince May 8, 2023 Accepting new patients
Summit Medical Group PLLC CurrentSince Sep 12, 2011 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

4515 Premier Dr
Ste 201
High Point, NC 27265
Phone (336) 802-2610

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

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

Interoperability endpoints

  • Direct secure messaging: rdailey2755523@carolinashealthcaresystem.direct-ci.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 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1912949975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092675",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 WELLINGTON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195968",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Premier Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658356",
            "country_code": "US",
            "telephone_number": "336-802-2610",
            "fax_number": "336-802-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "RALPH",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10648",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.