Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason S. Hallock, PA-C

Individual provider Emergency Medicine Physician · NPI 1710922950

Jason S. Hallock, PA-C is a Physician Assistant in Chattanooga, Tennessee. Qualified in 2005, 21 years ago. Licensed in Tennessee.

Years since qualifying
21
Licensed in
TN
In the registry since
2006
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

2525 Desales Ave
Chattanooga, TN 37404
Phone: (423) 697-0014
Fax: (423) 648-6280
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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 PA1317 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA1317 (TN)

Record details

NPI number1710922950
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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