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Active NPI 1336786383 Individual Practitioner Male Practitioner

Andrew Levi Blythe , PA-C

Physician Assistant • Gray, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrew Blythe, PA-C is a certified Physician Assistant practicing in Gray, TN. With approximately 7 years of clinical experience since completing medical education in 2019, Andrew Blythe delivers high-quality medical care to the local community at 2103 FOREST DR STE 5.

Andrew Blythe is affiliated with Centennial Medical Group Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, triamcinolone acetonide, preservative free, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2103 Forest Dr Ste 5

Gray, TN 376158423

Telephone 4237943142
Fax 4237943184
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gray, TN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -5.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Gray, TN (3096 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blythe (7 Years) 7 Yrs
Gray Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
431 148 $475.52 $74.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
83 14 $26.63 $0.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
52 45 $593.60 $103.49

Medical Specialties & State Licenses

CMS Verified: 2024-05-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License
3961 (TN)

Hospital & Practice Group Affiliations

Centennial Medical Group Llp

4454 N Decatur Blvd, Las Vegas, NV 891305286

Phone: 7028391203

Centennial Medical Group Llp

2110 E Flamingo Rd, Las Vegas, NV 891195190

Phone: 7028391203

Secondary Practice Locations

1342 Papermill Pointe Way

Knoxville, TN 379091903

Phone: 8656735000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Marcos Demoura , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033358544

Certified Registered Nurse Anesthetist

Miranda Day , NP

Nurse Practitioner

NPI 1124560487

Nurse Practitioner

Desiree Raynor , NP-C

Nurse Practitioner - Family

NPI 1346624095

Nurse Practitioner (Certified)

Grace Leeman

Nurse Practitioner - Family

NPI 1538908421
Linda Quillen , NP

Nurse Practitioner

NPI 1548281785

Nurse Practitioner

Amber Vance , FNP-BC

Nurse Practitioner - Family

NPI 1558074328

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 10, 2021

Registered at 2103 FOREST DR STE 5, GRAY, TN 376158423 (Tel: 4237943142)

📍
Updated Business Mailing Address May 10, 2021

Registered at 1326 PAPERMILL POINTE WAY, KNOXVILLE, TN 379091903 (Tel: 8652432136)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2020

Physician Assistant

NPI Profile Active December 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2019

Registered at 2410 SUSANNAH ST, JOHNSON CITY, TN 376011748 (Tel: 4232829011)

📍
Updated Business Mailing Address December 09, 2019

Registered at 2410 SUSANNAH ST, JOHNSON CITY, TN 376011748 (Tel: 4232829011)

👤
Provider Name / Credentials Updated December 09, 2019

Recorded as ANDREW BLYTHE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration December 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336786383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2019
Last Update: May 13, 2024
Sole Proprietor: Yes

Mailing Address

1326 Papermill Pointe Way

Knoxville, TN 379091903

Phone: 8652432136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.