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ANNETTE SKIDMORE PA
NPI 1225063480
Physician Assistant in Kingsport, TN

Active since July 12, 2006
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660(423) 230-5000(423) 230-5010 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annette Skidmore Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTE SKIDMORE PA (NPI 1225063480) is an individual physician assistant in Kingsport, Tennessee, licensed in Tennessee (269) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1225063480
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNETTE SKIDMORECredential: PA
Location Address2050 MEADOWVIEW PKWYKingsport, TN 37660-7332
Mailing Address2050 Meadowview PkwyKingsport, TN 37660-7332 · (423) 230-5000 · Fax (423) 230-5010
Phone(423) 230-5000
Fax(423) 230-5010
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1225063480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 269
Definition
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.
2050 MEADOWVIEW PKWY, Kingsport, TN 37660
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Other Identifiers 3

Medicare UPINS76353TN
Medicaid8923442VA
Medicare ID-Type Unspecified3668326TN · Cigna

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN N. LOONEY NP
Nurse Practitioner (Family)
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
ELIZABETH TIMBS PA-C
Physician Assistant
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
WESLEY M RIMER CNS
Clinical Nurse Specialist
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
HOLLEY OSBORNE CRADDOCK NP
Nurse Practitioner (Acute Care)
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
DANJING ZHAO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
VIRGINIA MARIE VITIELLO MSN, AGNP-C, EMT-B
Nurse Practitioner (Adult Health)
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
WAYNE MATTHEW HOSTLER PA
Physician Assistant (Surgical)
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000
TINA A. ROSE NP
Nurse Practitioner (Family)
2050 MEADOWVIEW PKWY
KINGSPORT, TN 37660
Sullivan County (423) 230-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Skidmore's NPI number?

The NPI number for Annette Skidmore is 1225063480. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Annette Skidmore located?

Annette Skidmore practices at 2050 Meadowview Pkwy, Kingsport, TN 37660. The listed phone number is (423) 230-5000.

What is Annette Skidmore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Annette Skidmore was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.