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Charlie Etherton, PAC

Physician Assistant in Sevierville, TN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700990025

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Registry record

Entity type Individual (Type 1)
Name Charlie Etherton
Credential PAC
Sex Male
Practice address 1124 Fox Meadows Blvd, Suite 2, Sevierville, TN, 37862
Phone (865) 453-5530
Fax (865) 453-2671
Enumeration date Aug 17, 2006
Last updated in NPPES Apr 23, 2020

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA0842 (TN) Primary

Other identifiers

Identifier Type State Issuer
P00339849 Other TN RR MEDICARE PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1700990025 active?
Yes, as of the latest NPPES snapshot, NPI 1700990025 is active (record last updated 2020-04-23).
How do I verify Charlie Etherton's NPI record?
Cross-check NPI 1700990025 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-23.