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

1932 Alcoa Hwy Bldg C
Knoxville, TN 37920-1527
Phone: (865) 524-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

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