HANNAH JO PETTIT PA-C
NPI 1558092700
Physician Assistant - Surgical in Johnson City, TN

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011(423) 282-0035 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hannah Jo Pettit Pa-c NPPES

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

HANNAH JO PETTIT PA-C (NPI 1558092700) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (5062) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558092700
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameHANNAH JO PETTITCredential: PA-C
Location Address2410 SUSANNAH STJohnson City, TN 37601-1748
Mailing Address1909 Jamestown RdJohnson City, TN 37604-7640
Fax(423) 282-0035
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
NPI 1558092700 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 · 5062
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5062 (TN)
2410 SUSANNAH ST, Johnson City, TN 37601

Other Names 1

Former Name (1)Hannah Jo Castor

Secondary Practice Locations 2

Location 1340 Steeles RdBristol, TN 37620-9532 · Phone (423) 722-0284 · Fax (423) 282-0035
Location 2875 Larry Neil WayKingsport, TN 37660-6368 · Phone (423) 282-9011 · Fax (423) 282-9572

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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

Hannah Jo Pettit Pa-c 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 ID1658756085
PECOS Enrollment IDI20220921000166
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 20

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
2,112 services31 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
438 services89 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
182 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services114 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
81 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services69 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physician Assistant
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601

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 Hannah Pettit's NPI number?

The NPI number for Hannah Pettit is 1558092700. It was assigned to this individual provider in the NPPES registry on June 20, 2022. The provider is also known as Hannah Jo Castor.

Where is Hannah Pettit located?

Hannah Pettit practices at 2410 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 282-9011.

What is Hannah Pettit's specialty?

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

Is Hannah Pettit enrolled in Medicare?

Yes. Hannah Pettit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hannah Pettit accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Hannah Pettit 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.

Is Hannah Pettit affiliated with any hospitals?

According to CMS data, Hannah Pettit is affiliated with Wellmont Bristol Regional Medical Center and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Hannah Pettit was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.