IndividualActive
Codi Craig, PAC
NPI 1396289005 · Surgical Physician Assistant · Knoxville, TN
Provider details
- NPI number
- 1396289005
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA0000003122 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1926 Alcoa Hwy Ste F210
Knoxville, TN 37920-1545
Phone: (865) 305-2495
Fax: (865) 305-2496
Approximate (ZIP-level) locationGet directions
Mailing address
1713 US Highway 441 N
Okeechobee, FL 34972-1900
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.