CODI CRAIG PAC
NPI 1396289005
Physician Assistant - Surgical in Knoxville, TN

Q: What is Codi Craig's NPI number?

The NPI number for Codi Craig is 1396289005. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Q: What is Codi Craig's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Codi Craig was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since December 14, 2016PECOS EnrolledAccepts Medicare Assignment

1926 ALCOA HWY STE F210, KNOXVILLE, TN 37920(865) 305-2495(865) 305-2496 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Dec 14, 2016 (2 updates tracked since 2016).

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About Codi Craig Pac NPPES

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

CODI CRAIG PAC (NPI 1396289005) is an individual surgical provider in Knoxville, Tennessee, licensed in Tennessee (PA0000003122) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Lincoln Memorial University Medical Department (2016).

NPPES Registry Identity

NPI1396289005

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameCODI CRAIGCredential: PAC

Location Address1926 ALCOA HWY STE F210Knoxville, TN 37920-1545

Mailing Address1713 Us Highway 441 N, Suite HOkeechobee, FL 34972-1900 · (863) 357-1510 · Fax (863) 357-1518

Phone(865) 305-2495

Fax(865) 305-2496

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2016

Enumeration DateDecember 14, 2016

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1396289005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · PA0000003122

1926 ALCOA HWY STE F210, Knoxville, TN 37920

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Codi Craig Pac 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 ID345523395

PECOS Enrollment IDI20211103000960

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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

72 services36 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

37 services19 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

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. CHRISTIAN PATRICK PROBST M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)