Jerome Patrick Tina
Jerome Patrick Tina is a Physician Assistant in Jonesborough, Tennessee. Qualified in 2022, 4 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.
- Years since qualifying
- 4
- Licensed in
- TN, VA
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
155 Jim Ford RdJonesborough, TN 37659-3129
Phone: (516) 967-0805
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 800 S Mohawk Dr Ste C, Erwin, TN 37650-2124 — (423) 735-4750
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5240 (TN) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 0110010539 (VA) |
| Physician Assistant | Taxonomy 363A00000X · Licence 5240 (TN) |
| Physician Assistant | Taxonomy 363A00000X · Licence 0110010539 (VA) |
Record details
| NPI number | 1467187229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2022 |
| Last updated in NPPES | July 31, 2026 |
| Certification date | July 31, 2026 |
| Mailing address | 155 Jim Ford Rd, Jonesborough, TN 37659-3129 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Blue Ridge Medical Management Corporation — 286 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Jonesborough
-
James W Montag Jr., PA-C
415 Boones Creek Rd Ste 1, Jonesborough, TN 37659-5165 · (423) 788-3080