Provider Demographics
NPI:1477637593
Name:KNOX, SHEILA G (PA-C)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:G
Last Name:KNOX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5552 FRANKLIN PIKE STE 100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2130
Mailing Address - Country:US
Mailing Address - Phone:615-383-1246
Mailing Address - Fax:615-383-8260
Practice Address - Street 1:5552 FRANKLIN PIKE STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-2130
Practice Address - Country:US
Practice Address - Phone:615-383-1246
Practice Address - Fax:615-383-8260
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1079207Q00000X
TNPA1079207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNPENDINGMedicaid
P20988Medicare UPIN
TNPENDINGMedicare ID - Type Unspecified