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

Individual provider Physician Assistant · NPI 1902521891

Kellie Tankersley, PA-C is a Physician Assistant in Chattanooga, Tennessee. Qualified in 2023, 3 years ago. Practices with Crossroads Urgent Care PLLC, a 179-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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

2021 Hamilton Place Blvd
Chattanooga, TN 37421-6046
Phone: (423) 899-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Isbill Rd, Chattanooga, TN 37419-1609 — (423) 718-3851

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1902521891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 4, 2022
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Crossroads Urgent Care Pllc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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