JAMES J CASEY JR. PA
NPI 1407804891
Physician Assistant - Surgical in Johnson City, TN

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since May 05, 2006PECOS Enrolled

310 N STATE OF FRANKLIN RD, SUITE 101, JOHNSON CITY, TN 37604(423) 929-7393(423) 929-0872 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 30, 2017, Sep 28, 2015 (2 updates tracked since 2015).

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About James J Casey Jr. Pa NPPES

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

JAMES J CASEY JR. PA (NPI 1407804891) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (PA16) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407804891

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJAMES J CASEY JR.Credential: PA

Location Address310 N STATE OF FRANKLIN RD, SUITE 101Johnson City, TN 37604-6008

Mailing Address310 N State Of Franklin Rd, Suite 101Johnson City, TN 37604-6008 · (423) 929-7393 · Fax (423) 929-0872

Phone(423) 929-7393

Fax(423) 929-0872

Sole ProprietorNo

Enumeration DateMay 5, 2006

Last NPPES UpdateJanuary 30, 20172 updates tracked since enumeration

✔ NPI 1407804891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AS0400X

License✔ Licensed in TN · PA16

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA16 (TN)

310 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Other Identifiers 6

Medicare UPINR40334

Medicare PIN103I972539TN

Medicaid1514407TN

Other4174924TN · Bcbs

Medicaid1407804891VA

Medicare PIN36687931AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James J Casey Jr. Pa 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.