Individual provider Active NPI

Timothy Thomason, PA-C

  • Physician Assistant
  • Pigeon Forge, TN
National Provider Identifier
1972665370
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
190 Community Center Dr.
Suite 103
Pigeon Forge, TN 37863-6251
Phone
(865) 446-4032
Fax
(865) 868-4746
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4883909 TN
Physician Assistant 363A00000X TN Primary

Addresses

Primary practice location

190 Community Center Dr.
Suite 103
Pigeon Forge, TN 37863-6251

Mailing address

190 Community Center Dr.
Suite 103
Pigeon Forge, TN 37863-6251
Phone (865) 446-4032

Other identifiers 1

IdentifierTypeStateIssuer
1515398MedicaidTN

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
I20190422002467 TN Practitioner - Physician Assistant 7719285733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Brier MedicalGroup PAC ID 9234552753, 3 clinicians

Practice addresses (Care Compare)

1110 Village Dr
Sevierville, TN 37862-5028
Phone (865) 429-8800

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
914TNMDRegistered Dietitian
4883909TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Mar 1, 2019 Accepting new patients
University Health System Inc CurrentSince Mar 1, 2019 Accepting new patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients
Physician Associate Resources, PLC Medical Past Accepting new patients

Locations

1559 Highland Park Dr
Lenoir City, TN 37772
Phone (865) 635-8389

190 Community Center Dr
Ste 103
Pigeon Forge, TN 37863

1130 Middle Creek Rd
Ste 260
Sevierville, TN 37862
Phone (865) 428-7586

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1972665370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR.",
            "address_2": "SUITE 103",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR.",
            "address_2": "SUITE 103",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4883909",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515398",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pigeon Forge, TN

Sources for this page

Verify at the official NPI Registry.