Individual provider Active NPI

Kimberly A Nelson, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1932116100
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
778 Issued in TN
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

Updated by the provider on Jul 21, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000441 TN Practitioner - Physician Assistant 8123287166 Reassigns benefits to 3 organizations

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
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

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 Hospital, Oak Ridge, TN, CCN 440034
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
778TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince May 13, 2014 Accepting new patients
Covenant Medical Group, Inc CurrentSince May 30, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince May 13, 2014 Accepting new patients
Covenant Medical Group, Inc. Physician Assistant CurrentSince May 30, 2017 Accepting new patients
East Tennessee Neuropathy, PC Physician Assistant PastSince Apr 1, 2013 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.