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

Clinton Jed Blaine, PA

Individual provider Physician Assistant · NPI 1558340844

Clinton Jed Blaine, PA is an Emergency Medicine in Huntingdon, Tennessee. Qualified in 2016, 10 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Oregon, Tennessee and Virginia.

Years since qualifying
10
Licensed in
OR, TN, VA
In the registry since
2006
Specialties on file
3
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

3500 Purdy Rd
Huntingdon, TN 38344-8050
Phone: (731) 986-2536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011001141 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA161186 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA892 (TN)

Record details

NPI number1558340844
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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