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

Mr. Jason Kendall Walls, PA

Individual provider Medical Physician Assistant · NPI 1942247713

Mr. Jason Kendall Walls, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
27
Licensed in
TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

310 N State And Franklin Rd Ste 103
Johnson City, TN 37604-6063
Phone: (423) 232-8301
Fax: (423) 232-8304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA0000000820 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA0000000820 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 820 (TN)

Record details

NPI number1942247713
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESMarch 16, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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