JACOB GALLAHER (PA-C) – Neurological Surgery Physician, NPI 1063006922

JACOB GALLAHER (PA-C) is a healthcare provider. based in Knoxville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4492 (TN). The NPI Number for JACOB GALLAHER (PA-C) is 1063006922

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB GALLAHER (PA-C)
NPI
1063006922
Phone
(865) 789-1336
Address
110 BRENTWAY CIR APT 161
Enumeration Date
22 February 2021
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8652138401
Graduation Year
2020 (6 years ago)
PAC ID
4183030976
Group Practice PAC ID
6608773775
Professional Enrollment ID
I20210302001735
Address ID
TN378741181SW304XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for JACOB GALLAHER (PA-C)

  • 110 BRENTWAY CIR APT 161

    KNOXVILLE, TN 379091343

    Phone: (865) 789-1336

    Type: Mailing

  • 1924 ALCOA HWY

    KNOXVILLE, TN 379201511

    Phone: (865) 524-1869

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 187 Open Payments records for all available years, with a total value of $3,466.

Total Amount is formed as General ($3,466) + Research ($0) + Ownership ($0) = $3,466.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,276).

Total Amount

$3,466

General + Research + Ownership

Payments

187

Total payment records

General Amount

$3,466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210302001735IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 37909)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608773775View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Certified Registered Nurse Anesthetist (Crna)TN
Family PracticeTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YOK
-TN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to JACOB GALLAHER (PA-C)?
The federal identifier for JACOB GALLAHER (PA-C) is NPI 1063006922.
Is JACOB GALLAHER (PA-C)'s NPI currently valid?
The extract we use shows JACOB GALLAHER (PA-C) as active.
Can you summarize JACOB GALLAHER (PA-C)'s specialty in plain language?
Clinically, the directory lists JACOB GALLAHER (PA-C) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Does JACOB GALLAHER (PA-C) practice in Tennessee?
You will see Knoxville, Tennessee on file for JACOB GALLAHER (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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