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

Individual provider Physician Assistant · NPI 1386455871

Tabitha Kaneshiro, PA-C is a Physician Assistant in Kingsport, Tennessee. Qualified in 2024, 2 years ago. Practices with Wellmont Cardiology Services, a 138-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
Specialties on file
2
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

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone: (423) 230-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 310 N State Of Franklin Rd Ste 400, Johnson City, TN 37604-6051 — (423) 979-6000
  • 746 High Point Way, Knoxville, TN 37912-3693 — (808) 646-1139

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6417 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 6417 (TN)

Record details

NPI number1386455871
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellmont Cardiology Services — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Kingsport