Doctor profile · Federal record

Dr. Kali Rutherford, PA

Physician Assistant · Physician Assistant · Jacksboro, TN

  • NPI 1164275566
  • 2 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2707 Jacksboro Pike Ste 2
Jacksboro, TN 377572752
(423) 437-8576
Mailing address
2055 Gatehouse Ln
Powell, TN 378496301

Credentials & registration

NPPES · NUCC
NPI registered
April 2024 — 2 yrs on file
Profile last updated
April 10, 2024
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Tennessee #5906

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164275566. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$30
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 2 $29.96

By nature of payment

Food and Beverage
$30

Frequently asked questions

Auto-generated from federal data
What is Dr. Kali Rutherford's medical specialty?
Dr. Kali Rutherford practices Physician Assistant in Jacksboro, TN.
Where does Dr. Kali Rutherford practice?
Dr. Kali Rutherford practices at 2707 Jacksboro Pike Ste 2, Jacksboro, TN 377572752. Office phone: 4234378576.
What is Dr. Kali Rutherford's NPI?
Dr. Kali Rutherford's National Provider Identifier (NPI) is 1164275566, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›