Provider Demographics
NPI:1275931867
Name:CASON, ADREANNE NASHEA (PA-C)
Entity Type:Individual
Prefix:
First Name:ADREANNE
Middle Name:NASHEA
Last Name:CASON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ADREANNE
Other - Middle Name:NASHEA
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1932 ALCOA HWY
Mailing Address - Street 2:BLDG C, SUITE 360
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:423-327-0269
Mailing Address - Fax:865-544-6533
Practice Address - Street 1:1932 ALCOA HWY
Practice Address - Street 2:BLDG C, SUITE 360
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:423-327-0269
Practice Address - Fax:865-544-6533
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X, 363AS0400X
TN2640363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ019288Medicaid
TN103I975380Medicare PIN