Active NPI
Kimberly A Nelson, PA
- Physician Assistant
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 778
- Practice address
- 6473 Kingston Pike
Knoxville, TN 37919-4832 - Phone
- (865) 588-8831
- Fax
- (865) 588-8841
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 778 | TN | Primary |
Addresses
Primary practice location
6473 Kingston Pike
Knoxville, TN 37919-4832
Mailing address
PO Box 207830
Dallas, TX 75320-7830
Phone (888) 412-2649
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
944 Oak Ridge Tpke
Oak Ridge, TN 37830-6917
Phone (865) 835-3810
Hospital & facility affiliations
- Methodist Medical Center of Oak Ridge
- Fort Sanders Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| East Tennessee Neuropathy, PC | Physician Assistant | Past | Accepting new patients |
| Statcare Inpatient LLC | Physician Assistant | Past | Accepting new patients |
Locations
8035 Roane Medical Center Dr
Ste 240
Harriman, TN 37748
9330 Park West Blvd
Ste 402
Knoxville, TN 37923
Phone (865) 690-3003
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
501 20th St
Ste 303
Knoxville, TN 37916
Phone (865) 331-1375
Dept 888179
Knoxville, TN 37995
10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
104 Parliament Dr
Maryville, TN 37804
Phone (865) 233-7425
944 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 835-3810
744 Middle Creek Rd
Ste 108
Sevierville, TN 37862
Phone (865) 446-9500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Physician Assistant
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Internal Medicine Physician
- Maryville, TN
- NPI 1255572574
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1649511965
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1932116100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207830",
"city": "DALLAS",
"state": "TX",
"postal_code": "753207830",
"telephone_number": "888-412-2649",
"fax_number": "405-792-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6473 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194832",
"telephone_number": "865-588-8831",
"fax_number": "865-588-8841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.