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

Philip Aaron Weatherford, PA-C

Individual provider Physician Assistant · NPI 1790226728

Philip Aaron Weatherford, PA-C is a Physician Assistant in Kingsport, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
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

3 Sheridan Sq
Kingsport, TN 37660-7390
Phone: (423) 392-6840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Broyles Dr, Johnson City, TN 37601-2532 — (423) 282-9990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1129757 (TN)

Record details

NPI number1790226728
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

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