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Active NPI 1538231949 Individual Practitioner Female Practitioner

Waynette Kingman , PA-C

Physician Assistant • Vonore, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Waynette Kingman, PA-C is a certified Physician Assistant practicing in Vonore, TN. With approximately 25 years of clinical experience since completing medical education in 2001, Waynette Kingman delivers high-quality medical care to the local community at 110 DEER XING.

Waynette Kingman is affiliated with Blount Memorial Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 Deer Xing

Vonore, TN 378852133

Telephone 4238841925
Fax 4238841926
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vonore, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +8.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Vonore, TN (3096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kingman (25 Years) 25 Yrs
Vonore Specialty Average (17.0 Years) 17.0 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
17003 Destruction of precancer skin growth, 2-14 growths
1,208 187 $11.00 $5.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
540 282 $180.00 $99.29
17000 Destruction of skin growth
357 215 $110.00 $34.38
11102 Tangential biopsy of single skin lesion
295 209 $156.00 $65.65
11103 Biopsy of related skin growth, each additional growth
258 125 $85.00 $38.04
17110 Destruction of up to 14 skin growths
146 116 $155.32 $83.94
99213 Established patient office or other outpatient visit, typically 15 minutes
57 49 $128.58 $70.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
28 20 $245.36 $116.88
17004 Destruction of precancer skin growth, 15 or more growths
21 19 $248.00 $126.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $235.00 $129.89

Medical Specialties & State Licenses

CMS Verified: 2025-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 1319

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

Medicaid State Provider ID
1527899 (TN)

Hospital & Practice Group Affiliations

Blount Memorial Physician Group Inc

110 Deer Crossings, Vonore, TN 378852133

Phone: 4238841925

Blount Memorial Physician Group Inc

463 Bmh Physician, Maryville, TN 378045807

Phone: 8659805100

Blount Memorial Physician Group Inc

405 Bmh Physicians Office Bldg, Maryville, TN 378045807

Phone: 8652386430

Blount Memorial Physician Group Inc

425 Bmh Physicians, Maryville, TN 378045807

Phone: 8659805260

Practice Associates & Co-Workers

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

2 Associated Practitioners
Katherine Whaley

Physician Assistant

NPI 1154818672
Dr. Jonathan Mcbride , MD

Anesthesiology - Pain Medicine

NPI 1962899526

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address October 28, 2025

Registered at 300 E MCBEE AVE FL 4, GREENVILLE, SC 296012842

📍
Updated Practice Location October 05, 2021

Registered at 110 DEER XING, VONORE, TN 378852133 (Tel: 4238841925)

📍
Updated Business Mailing Address October 05, 2021

Registered at 103 W BROADWAY AVE, MARYVILLE, TN 378014703 (Tel: 8652731752)

NPI Profile Active December 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2016

Registered at 123 FOX RD, KNOXVILLE, TN 379223369 (Tel: 8656909467)

📍
Updated Business Mailing Address December 09, 2016

Registered at 123 FOX RD, KNOXVILLE, TN 379223369 (Tel: 8656909467)

👤
Provider Name / Credentials Updated December 09, 2016

Recorded as WAYNETTE KINGMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2016

Physician Assistant (License #1319 in TN)

🟢
Initial NPI Registration & Enumeration November 14, 2006

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: 1538231949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: October 28, 2025
Sole Proprietor: No

Mailing Address

300 E Mcbee Ave Fl 4

Greenville, SC 296012842

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.