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

Hannah Jo Pettit, PA-C

Individual provider Surgical Physician Assistant · NPI 1558092700

Hannah Jo Pettit, PA-C is a Physician Assistant in Johnson City, Tennessee. Qualified in 2022, 4 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
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

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
Fax: (423) 282-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 340 Steeles Rd, Bristol, TN 37620-9532 — (423) 722-0284
  • 875 Larry Neil Way, Kingsport, TN 37660-6368 — (423) 282-9011

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5062 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 5062 (TN)

Record details

NPI number1558092700
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City