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

Mr. Timothy R. Black, PA-C

Individual provider Physician Assistant · NPI 1720092307

Mr. Timothy R. Black, PA-C is a Physician Assistant in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
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

10800 Parkside Dr Ste 330
Knoxville, TN 37934-1926
Phone: (865) 218-7480
Fax: (865) 218-7488
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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 PA772 (TN)

Record details

NPI number1720092307
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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