MR. JOHNNY WAYNE PRESLEY PAC
NPI 1427069749
Physician Assistant - Medical in Jamestown, TN

Q: What is Johnny Presley's NPI number?

The NPI number for Johnny Presley is 1427069749. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Johnny Presley'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 Johnny Presley was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment

100 S DUNCAN ST, JAMESTOWN, TN 38556(931) 879-5864(931) 879-3903 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2022, Nov 27, 2015 (2 updates tracked since 2015).

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About Mr. Johnny Wayne Presley Pac NPPES

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

MR. JOHNNY WAYNE PRESLEY PAC (NPI 1427069749) is an individual medical provider in Jamestown, Tennessee, licensed in Tennessee (PA130) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1427069749

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JOHNNY WAYNE PRESLEYCredential: PAC

Location Address100 S DUNCAN STJamestown, TN 38556-3009

Mailing AddressPo Box 2861Crossville, TN 38557-2861 · (931) 879-5864

Phone(931) 879-5864

Fax(931) 879-3903

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 11, 2006

Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1427069749 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 · PA130

100 S DUNCAN ST, Jamestown, TN 38556

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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

Mr. Johnny Wayne Presley 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 ID3173618766

PECOS Enrollment IDI20091214000050

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

43 services41 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

15 services15 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

15 services15 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Big South Fork Medical Center

Critical Access Hospitals · Oneida, TN

OwnershipProprietary

CMS Certification Number441323

Location18797 Alberta StreetOneida, TN 37841 · Scott County

Emergency services

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Other Providers at the Same Location NPPES 10

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

CUMBERLAND SPINE & SPORT, LLC

Pain Medicine (Pain Medicine)