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

Brian Blake Childress, PA

Individual provider Physician Assistant · NPI 1740791847

Brian Blake Childress, PA is a Physician Assistant in Jackson, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2017, 9 years ago. Practices with Knoxville Dermatology Group PC, a 29-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

87 Murray Guard Dr Ste B
Jackson, TN 38305-3775
Phone: (731) 422-0213
Fax: (731) 660-8319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 133 Associates Blvd, Alcoa, TN 37701-1944 — (865) 233-7351
  • 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909-2448 — (865) 524-2547
  • 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920-1504 — (865) 524-2547

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3467 (TN)

Record details

NPI number1740791847
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 16, 2017
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2017 (9 years in practice)
Group practice Knoxville Dermatology Group Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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