Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Jackson Shepherd, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790437614

David Jackson Shepherd, PA-C is a Physician Assistant in Knoxville, Tennessee. Qualified in 2021, 5 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Knoxville, TN

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 400 Goodys Ln, Knoxville, TN 37922-1914 — (865) 251-1800

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5021 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790437614
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 21, 2022
Last updated in NPPESDecember 31, 2022
Certification dateDecember 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Franklin Woods Community Hospital Hospital · Johnson City, TN
  • Johnson City Medical Center Hospital · Johnson City, TN
  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN

Colleagues at Blue Ridge Medical Management Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Knoxville