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HomeProvidersLOGAN HYATT PA

Physician Assistant, Medical

LOGAN HYATT PA

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 Plan acceptance stays unpublished until the practice reports it.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 1114924222 · enumerated 2005-07-05 · record updated 2023-06-07. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 555 JUSTIS DR, GREENEVILLE, TN, 37745-4288 (423) 254-6460 Fax (833) 908-2070 Google Maps Apple Maps OpenStreetMap
Mailing address PO BOX 26194, BELFAST, ME, 04915-2012 (865) 584-4747 Google Maps Apple Maps OpenStreetMap

Specialties

Physician Assistant, Medical 363AM0700X · Primary · License 3711 TN

In this directory

TN Greene County Greeneville Physician Assistant, Medical

Locations and evidence

Practice location GREENEVILLE, TN, 377454288
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.