ANDREW LEVI BLYTHE (PA-C) – Physician Assistant, NPI 1336786383

ANDREW LEVI BLYTHE (PA-C) is a healthcare provider. based in Johnson city, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ANDREW LEVI BLYTHE (PA-C) is 1336786383

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW LEVI BLYTHE (PA-C)
NPI
1336786383
Phone
(423) 282-9011
Address
2410 SUSANNAH ST
Enumeration Date
9 December 2019
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028391203
Graduation Year
2019 (7 years ago)
PAC ID
4789012923
Group Practice PAC ID
6901807536
Professional Enrollment ID
I20220228002104
Address ID
NV891305286LA4454XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for ANDREW LEVI BLYTHE (PA-C)

  • 2410 SUSANNAH ST

    JOHNSON CITY, TN 376011748

    Phone: (423) 282-9011

    Type: Mailing

  • 1342 Papermill Pointe Way

    Knoxville, TN 379091903

    Phone: (865) 673-5000

    Fax: (865) 588-5711

    Type: Location

  • 1326 PAPERMILL POINTE WAY

    KNOXVILLE, TN 379091903

    Phone: (865) 243-2136

    Fax: (865) 243-2138

    Type: Mailing

  • 2103 FOREST DR STE 5

    GRAY, TN 376158423

    Phone: (423) 794-3142

    Fax: (423) 794-3184

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Boston Scientific Corporation ($61).

Total Amount

$189

General + Research + Ownership

Payments

7

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2022-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200320002816IPhysician AssistantTNTBD
I20220228002104IPhysician AssistantNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37601)

Loading plans...

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: 6901807536View full group profile
NameSpecialtyState
Pain ManagementDC
Pain Management, Physical Medicine And RehabilitationCA
-NV
Pain Management, AnesthesiologyTX
-NV
Nurse PractitionerNV
-NV
-NV
Interventional Pain Management, Pain ManagementNV
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for ANDREW LEVI BLYTHE (PA-C)?
The registry entry for ANDREW LEVI BLYTHE (PA-C) shows NPI 1336786383.
Quick check: is ANDREW LEVI BLYTHE (PA-C) active?
Public NPPES data shows ANDREW LEVI BLYTHE (PA-C) with an active NPI status right now.
How should patients interpret ANDREW LEVI BLYTHE (PA-C)'s specialty?
The extract shows Physician Assistant for ANDREW LEVI BLYTHE (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to ANDREW LEVI BLYTHE (PA-C)?
The directory associates ANDREW LEVI BLYTHE (PA-C) with Johnson City, Tennessee. Check all listed addresses for suites or satellite offices.
Can I export ANDREW LEVI BLYTHE (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MELISSA KAYE TAYLOR (PA-C)

Physician Assistant
1009 NORTH STATE OF FRANKLIN ACCESS ROAD
NPI: 1881697076

MR. CHRISTOPHER MICHAEL HENDRIX (PA-C)

Surgical Physician Assistant
PO BOX 306556
NPI: 1851398176
410, North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37604, United States
NPI: 1689675522

ANDREW WILLIAM HULL (PA)

Physician Assistant
1009 N STATE OF FRANKLIN ACCESS ROAD
NPI: 1811999857

BRIAN K. BUXTON (PA-C)

Physician Assistant
725 North St
NPI: 1922098987

NEIL HAMILTON (PA-C)

Physician Assistant
210 Medical Pavilion Dr
NPI: 1417938408
410 N State of Franklin Rd Ste 135B
NPI: 1902888944

MR. BRIAN H PLANT (PAC)

Physician Assistant
410, North State of Franklin Road, The Y, Johnson City, Washington County, Tennessee, 37604, United States
NPI: 1972587277