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

Kellie Anne Byrd, PA-C

Individual provider Physician Assistant · NPI 1629550603

Kellie Anne Byrd, PA-C is a Physician Assistant in Greeneville, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2018, 8 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone: (423) 787-5000
Show map & directions

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

Additional practice locations (2)

  • 1 Medical Park Blvd, Bristol, TN 37620 — (423) 844-1121
  • 130 W Ravine Rd, Kingsport, TN 37660 — (423) 224-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3695 (TN)

Record details

NPI number1629550603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2018 (8 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Greeneville