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

Dustin McCoy, PA

Individual provider Physician Assistant · NPI 1619634516

Dustin McCoy, PA is a Physician Assistant in Knoxville, Tennessee. Qualified in 2021, 5 years ago. Practices with Knoxville Hma Cardiology Ppm, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
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

10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone: (865) 392-3400
Fax: (865) 392-3449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4709 (TN)

Record details

NPI number1619634516
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 26, 2021
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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 Knoxville Hma Cardiology Ppm, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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