Individual provider · Type 1 NPI

Deronna S. Moore, PA

Physician Assistant · Kingsport, TN

NPI number 1487067534 Active

Practice location

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027

Call (423) 224-3701 Map

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 405 Scenic Dr Ste A, Rogersville, TN 37857-2441 · (423) 921-3490
  • 438 E Vann Rd Ste 301, Greeneville, TN 37743-7202 · (423) 636-9828
  • 161 Heart Dr Ste A, Johnson City, TN 37604-2607 · (423) 282-0751
  • 231 S Fairmont Ave, Morristown, TN 37813-2036 · (423) 839-1600
  • 1220 Volunteer Pkwy, Bristol, TN 37620-4628 · (423) 274-6610
  • 24530 Falcon Place Blvd Ste 100, Abingdon, VA 24211-7665 · (276) 619-0075
  • 115 Judge Gresham Rd Ste A, Gray, TN 37615-6213 · (423) 467-3000
  • 4600 Fort Henry Dr, Kingsport, TN 37663-2617 · (423) 224-3950
  • 1497 W Elk Ave Ste 11, Elizabethton, TN 37643-2896 · (423) 542-8929
  • 2686 W State St, Bristol, TN 37620-1817 · (423) 844-0026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110009681 (VA)
Physician Assistant 363A00000X1903 (KY)
Physician Assistant Primary 363A00000X2543 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

10 other providers at this address

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About NPI 1487067534

Deronna S. Moore, PA's National Provider Identifier is 1487067534, issued on Jun 6, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingsport, TN. The record was last updated on Jun 9, 2025.