Individual
MR. ASHLEY Y GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
(865) 374-2129
Mailing address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
(865) 374-2129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
21961-875
WI
363A00000X
Physician Assistant
5688
SC
363A00000X
Physician Assistant
Primary
6031
TN
363A00000X
Physician Assistant
PA-1113
AR
363AS0400X
Surgical Physician Assistant
10000417A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374069
BCBS PIN
—
05
—
7374PA
—
SC
01
—
970012674
RAILROAD MEDICARE
—
05
—
Q093986
—
TN
Enumeration date
07/19/2006
Last updated
07/29/2025
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