MR. BENJAMIN WILSON KENDRICK (NPI# 1578907010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578907010 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN WILSON KENDRICK |
| Credential | PA-C |
| Practice Address |
1114 W Madison Ave Athens TN 37303-4150 |
| Practice Telephone | 4237451411 |
| Mailing Telephone | 4237451411 |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2013-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0000002203 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1114 W MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214156 | Kenneth Rand Lamm | Pathology | 1114 W Madison Ave, Athens, TN 37303-4150 | 2005-09-06 |
| 1659998425 | Ryan Matthew Bellomy | Nurse Practitioner | 1114 W Madison Ave, Athens, TN 37303-4150 | 2020-06-28 |
| 1437631967 | Aashna Pandya | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2018-08-31 |
| 1467901058 | Lori Younce | Nurse Practitioner | 1114 W Madison Ave, Athens, TN 37303-4150 | 2016-09-24 |
| 1710330659 | Andrea R Perkins | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2016-07-15 |
| 1851776710 | John T Wier | Registered Nurse | 1114 W Madison Ave, Athens, TN 37303-4150 | 2015-07-21 |
| 1578968566 | Heather Woods | Nurse Practitioner | 1114 W Madison Ave, Athens, TN 37303-4150 | 2014-11-03 |
| 1346678430 | Athens Regional Medical Center LLC | Psychiatric Unit | 1114 W Madison Ave, Athens, TN 37303-4150 | 2013-10-29 |
| 1194030809 | Brandon Wells Watson | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2010-08-18 |
| 1609024140 | Jeffrey Neil Longenecker | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2008-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261162 | Kayla Elizabeth Moore | Physician Assistant | 1477 Cotton Hollow Rd, Athens, PA 18810-7769 | 2020-06-29 |
| 1053934844 | William Aaron Retterbush | Physician Assistant | 250 W Broad St Apt 624, Athens, GA 30601-4817 | 2020-05-27 |
| 1689219552 | Katie Rhea Collins | Physician Assistant | 2400 Denso Dr, Athens, TN 37303-7835 | 2019-11-14 |
| 1538535984 | Tina Beatty | Physician Assistant | 146 Parks Hall, Athens, OH 45701-1359 | 2015-08-19 |
| 1811325673 | Janna Leigh Baker | Physician Assistant | 1000 Hawthorne Ave Ste T, Athens, GA 30606-2168 | 2013-10-14 |
| 1639457716 | Kara Renee Whyte | Physician Assistant | 242 King Ave, Medical Services Building, 2nd Floor, Athens, GA 30606-3506 | 2011-07-24 |
| 1336367671 | Robert Kevin Chin | Physician Assistant | 711 Cook Dr Ste 100, Athens, TN 37303-3499 | 2007-04-23 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1124184742 | Mara Renee Franklin | Physician Assistant | 1450 Barnett Shoals Rd Ste B, Athens, GA 30605-2748 | 2006-12-28 |
| 1750313854 | Emergency Professionals of Ohio, Inc. | Physician Assistant | 55 Hospital Drive, Athens, OH 45701-2345 | 2006-07-07 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.