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

Harold Lance Debord, PA

Individual provider Physician Assistant · NPI 1366413874

Harold Lance Debord, PA is a Physician Assistant in Erwin, Tennessee. Qualified in 2005, 21 years ago. Practices with Urgent Care of Erwin, LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
21
Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

800 S Mohawk Dr Ste E
Erwin, TN 37650-2124
Phone: (423) 330-6177
Fax: (423) 330-6241
Show map & directions

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

Additional practice locations (1)

  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-2100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1316 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0110002182 (VA)

Record details

NPI number1366413874
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Urgent Care Of Erwin, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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