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

Mr. Mark W Ingram, PAC

Individual provider Physician Assistant · NPI 1124079017

Mr. Mark W Ingram, PAC is a Physician Assistant in Morristown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

908 W North 4th St
Morristown, TN 37813
Phone: (423) 586-4995
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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 PA783 (TN)

Record details

NPI number1124079017
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4519 Majestic Magnolia Lane, Morristown, TN 37814

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