Individual provider Active NPI

Hannah Katherine Kegley, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1982143202
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3236 Issued in TN
Practice address
6484 Kingston Pike
Knoxville, TN 37919-4863
Phone
(865) 862-4357
Fax
(865) 673-8007
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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 3236 TN Primary

Addresses

Primary practice location

6484 Kingston Pike
Knoxville, TN 37919-4863

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062

Other practice location 1

1679 Veterans Blvd
Sevierville, TN 37862-6958
Phone (865) 862-4357

Other identifiers 1

IdentifierTypeStateIssuer
1982143202MedicaidTN

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
I20220609000515 TN Practitioner - Physician Assistant 1850666058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3236TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jun 2, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jun 2, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 401-9062

Interoperability endpoints

  • Direct secure messaging: hannahk.kegley.p2@direct.toa.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1982143202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6484 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194863",
            "telephone_number": "865-862-4357",
            "fax_number": "865-673-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1679 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626958",
            "country_code": "US",
            "telephone_number": "865-862-4357",
            "fax_number": "865-673-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "HANNAH",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982143202",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.