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

Individual provider Physician Assistant · NPI 1619635596

Mr. Raymond Joseph Fernandez, PA-C is a Physician Assistant in Powell, Tennessee. Qualified in 2021, 5 years ago. Practices with Premier Surgical Associates PLLC, a 61-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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

7714 Conner Rd Ste 103
Powell, TN 37849-3559
Phone: (659) 388-1218
Fax: (865) 212-5561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619635596
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Premier Surgical Associates Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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