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

Mrs. Jill Suzanne Wall, PA

Individual provider Physician Assistant · NPI 1043252190

Mrs. Jill Suzanne Wall, PA is a Physician Assistant in Sevierville, Tennessee. Qualified in 2004, 22 years ago. Practices with Blount Memorial Physician Group Inc, a 249-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2006
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

742 Middlecreek Rd
Sevierville, TN 37862-5047
Phone: (865) 446-8835
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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 1193 (TN)

Record details

NPI number1043252190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 26, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Blount Memorial Physician Group Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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