Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prodigal Primary Care PC

Organization Medical Physician Assistant · NPI 1861704371

Prodigal Primary Care PC is a Medical Physician Assistant in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2911 Essary Rd
Knoxville, TN 37918-2468
Phone: (865) 288-2754
Fax: (865) 243-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1506 (TN)

Record details

NPI number1861704371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Brickhouse — Owner · (865) 288-3754
NPI enumeratedJuly 13, 2010
Last updated in NPPESAugust 21, 2013
Mailing address2911 Essary Road, Knoxville, TN 37918-2468

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