Alex Christopher Pridmore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6508 Issued in TN

Practice address

312 Prince St
Sevierville, TN 37862-3823

Phone

(865) 774-7684

NPI assigned

Oct 7, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15627/brand/1/csg/1/fhir/r4
• Direct secure messaging: alex.pridmore.1@15627.direct.athenahealth.com

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.

• Mountain Hope Good Shepherd Clinic

  • Primary Care Clinic/Center
  • Sevierville, TN
  • NPI 1477824241
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1972322154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 VISTA TERRACE WAY APT 4107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322883",
            "telephone_number": "865-406-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PRINCE ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623823",
            "telephone_number": "865-774-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDMORE",
        "first_name": "ALEX",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Johnson Potter, PHARMD
• Carmen Jaylon Potter
• Victoria Leanne Potts, BSSW
• Tracy Murrell Price, R.N.
• Laura Ashlyn Pridgen
• Pro Therapy Services of East Tennessee
• Pro Therapy Services of East Tennessee, Inc
• Progressive Health Management Inc
• Ptrktn Holdings LLC
• Publix Tennessee, LLC

• Physician Assistant in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.