KENNETH J REED P.A.C.
NPI 1649369141
Physician Assistant - Medical in Jellico, TN

Active since October 12, 2006PECOS Enrolled
131 HOSPITAL LN, JELLICO, TN 37762(423) 784-7269(423) 784-3708 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J Reed P.a.c. NPPES

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

KENNETH J REED P.A.C. (NPI 1649369141) is an individual medical provider in Jellico, Tennessee, licensed in Tennessee (PA0000000105) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649369141
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKENNETH J REEDCredential: P.A.C.
Location Address131 HOSPITAL LNJellico, TN 37762-4404
Mailing AddressPo Box 447Jellico, TN 37762-0447 · (423) 784-7269 · Fax (423) 784-3708
Fax(423) 784-3708
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJanuary 18, 2017
NPI 1649369141 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
Licenses Licensed in TN · PA0000000105 Licensed in KY · PA272
131 HOSPITAL LN, Jellico, TN 37762

Other Identifiers 3

Medicare ID-Type Unspecified3665889TN
Medicaid1522588TN
Medicare UPINR95974

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth J Reed P.a.c. 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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
131 HOSPITAL LN
JELLICO, TN 37762
Surgery
131 HOSPITAL LN
JELLICO, TN 37762
Family Medicine
131 HOSPITAL LN
JELLICO, TN 37762
Family Medicine
131 HOSPITAL LN
JELLICO, TN 37762
Physician Assistant (Medical)
131 HOSPITAL LN
JELLICO, TN 37762
Clinic/Center (Rural Health)
131 HOSPITAL LN
JELLICO, TN 37762

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 Kenneth Reed's NPI number?

The NPI number for Kenneth Reed is 1649369141. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kenneth Reed located?

Kenneth Reed practices at 131 Hospital Ln, Jellico, TN 37762. The listed phone number is (423) 784-7269.

What is Kenneth Reed's specialty?

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

Is Kenneth Reed enrolled in Medicare?

Yes. Kenneth Reed is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Reed was last updated on January 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.