Individual provider · Type 1 NPI

Travis Patton

Surgical Physician Assistant · Kingsport, TN

NPI number 1174924922 Active

Practice location

444 Clinchfield St Ste 103
Kingsport, TN 37660-3859

Fax (423) 230-6349

Mailing address

509 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2579

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110004732 (VA)
Surgical Physician Assistant Primary 363AS0400X0110004732 (VA)
Surgical Physician Assistant 363AS0400X4597 (TN)
Physician Assistant 363A00000X4597 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1174924922

Travis Patton's National Provider Identifier is 1174924922, issued on Sep 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kingsport, TN. The record was last updated on Nov 19, 2025.