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MOLLY ANN WAGGONER PA-C
NPI 1225653967
Physician Assistant - Medical in Knoxville, TN

Active since June 09, 2020PECOS Enrolled
9050 EXECUTIVE PARK DR STE 100B, KNOXVILLE, TN 37923(865) 217-1297 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Molly Ann Waggoner Pa-c NPPES

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

MOLLY ANN WAGGONER PA-C (NPI 1225653967) is an individual medical provider in Knoxville, Tennessee, licensed in Tennessee (4115) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225653967
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMOLLY ANN WAGGONERCredential: PA-C
Location Address9050 EXECUTIVE PARK DR STE 100BKnoxville, TN 37923-4616
Mailing Address379 Mike Miller LnClinton, TN 37716-6545 · (865) 660-8236
Phone(865) 217-1297
Sole ProprietorNo
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1225653967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · 4115
9050 EXECUTIVE PARK DR STE 100B, Knoxville, TN 37923
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Ann Waggoner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

NHC-OP LP
Home Health
9050 EXECUTIVE PARK DR STE 100B
KNOXVILLE, TN 37923
Knox County (865) 539-0242

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 Molly Waggoner's NPI number?

The NPI number for Molly Waggoner is 1225653967. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Molly Waggoner located?

Molly Waggoner practices at 9050 Executive Park Dr Ste 100B, Knoxville, TN 37923. The listed phone number is (865) 217-1297.

What is Molly Waggoner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Molly Waggoner enrolled in Medicare?

Yes. Molly Waggoner is registered in the Medicare PECOS enrollment system.

What insurance does Molly Waggoner accept?

Health plans from BlueCross BlueShield of Tennessee list Molly Waggoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Waggoner was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.