Physician Assistant, Surgical
CODI CRAIG PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1396289005 · enumerated 2016-12-14 · record updated 2025-09-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1926 ALCOA HWY STE F210, KNOXVILLE, TN, 37920-1545 (865) 305-2495 Fax (865) 305-2496 Google Maps Apple Maps OpenStreetMap
- Mailing address 1713 US HIGHWAY 441 N, SUITE H, OKEECHOBEE, FL, 34972-1900 (863) 357-1510 Fax (863) 357-1518 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License PA0000003122 TN
In this directory
Locations and evidence
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Practice location
KNOXVILLE, TN, 379201545
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.