CAROLYN PROVIDENCE UPCHURCH
NPI 1235877382
Physician Assistant - Medical in Knoxville, TN

Q: What is Carolyn Upchurch's NPI number?

The NPI number for Carolyn Upchurch is 1235877382. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Carolyn Upchurch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Upchurch was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2022PECOS EnrolledAccepts Medicare Assignment

7210 OAK RIDGE HWY, KNOXVILLE, TN 37931(865) 647-5500(865) 769-5194 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, May 26, 2022 (2 updates tracked since 2022).

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About Carolyn Providence Upchurch NPPES

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

CAROLYN PROVIDENCE UPCHURCH (NPI 1235877382) is an individual medical provider in Knoxville, Tennessee, licensed in Tennessee (PA6415) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235877382

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAROLYN PROVIDENCE UPCHURCH

Location Address7210 OAK RIDGE HWYKnoxville, TN 37931-2613

Mailing Address7210 Oak Ridge HwyKnoxville, TN 37931-2613 · (865) 647-5500 · Fax (865) 769-5194

Phone(865) 647-5500

Fax(865) 769-5194

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 26, 2022

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1235877382 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 · PA6415

7210 OAK RIDGE HWY, Knoxville, TN 37931

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Providence Upchurch is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941685481

PECOS Enrollment IDI20250703002622

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

74 services31 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

39 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 5

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

DR. GREGG MARTIN RADER SR. M.D.

Internal Medicine