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

MS. Waynette Kingman, PA-C

Individual provider Physician Assistant · NPI 1538231949

MS. Waynette Kingman, PA-C is a Physician Assistant in Vonore, Tennessee. Qualified in 2001, 25 years ago. Practices with Blount Memorial Physician Group Inc, a 249-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
25
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.

See every abbreviation used in this directory →

Practice location Address checks out

110 Deer Xing
Vonore, TN 37885-2133
Phone: (423) 884-1925
Fax: (423) 884-1926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1319 (TN)

Record details

NPI number1538231949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 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

Other providers in Vonore