Individual
CODY MITCHELL HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 558-4400
(865) 558-4421
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4129
TN
363AS0400X
Surgical Physician Assistant
4129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q061889
—
TN
Enumeration date
09/22/2020
Last updated
01/14/2026
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