DAVID JACKSON SHEPHERD PA-C
NPI 1790437614
Physician Assistant - Surgical in Knoxville, TN

Q: What is David Shepherd's NPI number?

The NPI number for David Shepherd is 1790437614. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Q: What is David Shepherd'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 David Shepherd was last updated on December 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 21, 2022PECOS EnrolledAccepts Medicare Assignment

1932 ALCOA HWY BLDG C, KNOXVILLE, TN 37920(865) 524-1869 Get Directions Write a Review

NPPES record last updated: December 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2022, Jan 21, 2022 (2 updates tracked since 2022).

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About David Jackson Shepherd Pa-c NPPES

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

DAVID JACKSON SHEPHERD PA-C (NPI 1790437614) is an individual surgical provider in Knoxville, Tennessee, licensed in Tennessee (5021) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1790437614

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameDAVID JACKSON SHEPHERDCredential: PA-C

Location Address1932 ALCOA HWY BLDG CKnoxville, TN 37920-1527

Mailing Address400 Goodys LnKnoxville, TN 37922-1914 · (865) 251-1800

Phone(865) 524-1869

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 21, 2022

Last NPPES UpdateDecember 31, 20222 updates tracked since enumeration

NPPES CertifiedDecember 31, 2022

✔ NPI 1790437614 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 · 5021

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1932 ALCOA HWY BLDG C, Knoxville, TN 37920

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Secondary Practice Location 1

Location 1400 Goodys LnKnoxville, TN 37922-1914 · Phone (865) 251-1800

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

David Jackson Shepherd 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 ID2567859200

PECOS Enrollment IDI20220427000586

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 2

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.

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.

40 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440184

Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

NATHANIEL ROBERT ELLENS MD

Neurological Surgery

1932 ALCOA HWY BLDG C
KNOXVILLE, TN 37920

Knox County (616) 581-9320

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 David Shepherd's NPI number?

The NPI number for David Shepherd is 1790437614. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is David Shepherd located?

David Shepherd practices at 1932 Alcoa Hwy Bldg C, Knoxville, TN 37920. The listed phone number is (865) 524-1869.

What is David Shepherd's specialty?

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

Is David Shepherd enrolled in Medicare?

Yes. David Shepherd 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 David Shepherd accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list David Shepherd 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 David Shepherd affiliated with any hospitals?

According to CMS data, David Shepherd is affiliated with Wellmont Holston Valley Medical Center, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for David Shepherd was last updated on December 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.