JENNIFER P KING PA-C
NPI 1962641530
Physician Assistant - Medical in Jamestown, TN

Q: What is Jennifer King's NPI number?

The NPI number for Jennifer King is 1962641530. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Q: What is Jennifer King'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 Jennifer King was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 05, 2009PECOS Enrolled

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

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer P King Pa-c NPPES

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

JENNIFER P KING PA-C (NPI 1962641530) is an individual medical provider in Jamestown, Tennessee, licensed in Tennessee (001695) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Crossville.

NPPES Registry Identity

NPI1962641530

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER P KINGCredential: PA-C

Location Address100 S DUNCAN STJamestown, TN 38556-3009

Mailing Address229 Interstate Dr, Suite 103Crossville, TN 38555-2709 · (931) 210-5577 · Fax (931) 210-5575

Phone(931) 879-5864

Fax(931) 879-3903

Sole ProprietorNo

Enumeration DateFebruary 5, 2009

Last NPPES UpdateDecember 10, 2018

✔ NPI 1962641530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in TN · 001695

Also ListedPhysician AssistantTaxonomy 363A00000X · License 1695 (TN)

100 S DUNCAN ST, Jamestown, TN 38556

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Secondary Practice Location 1

Location 1229 Interstate Dr, Suite 103Crossville, TN 38555-2709 · Phone (931) 210-5577 · Fax (931) 210-5575

Other Identifiers 1

Other1695TN · Tn State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer P King Pa-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 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)