OrganizationActive
Innovative Primary Care, LLC
NPI 1366993263 · Medical Physician Assistant · Knoxville, TN
Provider details
- NPI number
- 1366993263
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stacy Pinson, Office Administrator(865) 200-8672
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7035 Middlebrook Pike Ste B
Knoxville, TN 37909-1387
Phone: (865) 200-8672
Fax: (865) 544-1570
Street-level locationGet directions
Mailing address
7035 Middlebrook Pike Ste B
Knoxville, TN 37909-1387
Additional practice locations (1)
- 4320 Ball Camp PikeKnoxville, TN 37921-3312Phone: (865) 544-1550
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2019-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.