Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891402103 Individual Practitioner Male Practitioner

William Spencer Bolt , PA-C

Physician Assistant • Jellico, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

William Bolt, PA-C is a certified Physician Assistant practicing in Jellico, TN. With approximately 6 years of clinical experience since completing medical education in 2020, William Bolt delivers high-quality medical care to the local community at 1390 5TH ST.

William Bolt is affiliated with Fast Pace Medical Clinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1390 5th St

Jellico, TN 377622631

Telephone 9312531110
Associated Practice Facility / Clinic
🏢 Fast Pace Medical Clinic Pllc Facility NPI 1730922303

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jellico, TN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Jellico, TN (3096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bolt (6 Years) 6 Yrs
Jellico Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus
36 15 $41.00 $16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
18 15 $119.17 $40.55

Medical Specialties & State Licenses

CMS Verified: 2022-11-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 5238

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.

Hospital & Practice Group Affiliations

Fast Pace Medical Clinic Pllc

100 E Tennessee St, Collinwood, TN 38450

Phone: 9317249000

Fast Pace Medical Clinic Pllc

4696 Nashville Hwy, Chapel Hill, TN 370342110

Phone: 9313645321

Fast Pace Medical Clinic Pllc

2019 Jacksboro Pike, La Follette, TN 377663001

Phone: 4234373093

Practice Associates & Co-Workers

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

19 Associated Practitioners
Lauren Carlisle , APRN, MSN, NP-C

Nurse Practitioner - Family

NPI 1184811069

Advanced Practice Registered Nurse, Master of Science in Nursing, Nurse Practitioner (Certified)

Robin Yeargan , APRN

Nurse Practitioner

NPI 1407302953

Advanced Practice Registered Nurse

Adrienne Offutt

Nurse Practitioner - Family

NPI 1427541309
Tamatha Owen

Nurse Practitioner

NPI 1467095927
Jessica Haviland

Nurse Practitioner - Family

NPI 1538792668
Brook Ponder , NP

Nurse Practitioner - Family

NPI 1578346755

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2022

Registered at 1390 5TH ST, JELLICO, TN 377622631 (Tel: 9312531110)

📍
Updated Business Mailing Address November 04, 2022

Registered at 1390 5TH ST, JELLICO, TN 377622631 (Tel: 9312531110)

👤
Provider Name / Credentials Updated November 04, 2022

Recorded as WILLIAM BOLT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2022

Physician Assistant (License #5238 in TN)

🟢
Initial NPI Registration & Enumeration November 04, 2022

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: 1891402103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2022
Last Update: November 04, 2022
Sole Proprietor: No

Mailing Address

1390 5th St

Jellico, TN 377622631

Phone: 9312531110

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.