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NPI · 1124079017 · NPPES-sourced

Mr. Mark Ingram Pac

ActivePhysician Assistant
NPI Number
1124079017
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(423) 586-4995
License TN · PA783
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-05-15
Primary practice addressTN · 37813
908 West North 4th StMorristown, TN 37813
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About this NPIWhat this record shows.

NPI 1124079017 is registered to Mr. Mark Ingram Pac, a Physician Assistant practising at 908 West North 4th St in Morristown, Tennessee. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Mark Ingram Pac has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-05-15
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Medicare enrollment

This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Mark Ingram Pac accepts. To confirm in-network status with your specific health plan, contact Mr. Mark Ingram Pac directly at (423) 586-4995.

Frequently asked

Yes. NPI 1124079017 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (423) 586-4995.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Mark Ingram Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2007-07
Enumerated2006-05-15
StatusActive
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