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

Mr. Gabriel Gustavo Greene I, PA-C

Individual provider Physician Assistant · NPI 1568114734

Mr. Gabriel Gustavo Greene I, PA-C is a Physician Assistant in Knoxville, Tennessee. Graduated from Southern College of Medicine and Surgery in 2021, 5 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
5
Trained at
Southern College of Medicine and Surgery
Licensed in
TN
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

6473 Kingston Pike
Knoxville, TN 37919-4832
Phone: (865) 588-8831
Fax: (865) 588-8841
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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 4965 (TN)

Record details

NPI number1568114734
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN COLLEGE OF MEDICINE AND SURGERY
Graduated 2021 (5 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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