Jana Brielle Lack, PA-C
NPI 1790425080ActiveIndividual· Physician Assistant· Crossville, TN
Physician Assistant (PA-C) with Covenant Medical Group Inc, practicing in Crossville, Tennessee. 312 Medicare patients in 2024, $46,971 paid; nearly all of their 468 Part D prescriptions were generic (99%). Smith+nephew, Inc. reported $24.18 in payments in 2025, mostly food and beverage. Lists Cumberland Medical Center as a hospital affiliation.
Overview
| NPI | 1790425080 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2022 |
| Last updated in NPPES | Oct 19, 2022 |
| Certified by provider | Oct 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 312 |
|---|---|
| Services billed | 2,662 across 58 procedure codes |
| Paid by Medicare | $46,971 |
Part D prescriptions in 2024
| Prescriptions (claims) | 468 · 544 30-day fills |
|---|---|
| Patients | 244 |
| Total drug cost | $6,451 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Covenant Medical Group IncKnoxville, TN · 365 clinicians
Hospital affiliation
- Cumberland Medical CenterCrossville, TN
Industry payments (Open Payments)
- 2025$24.18 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $24.18 | 1 |
What the 2025 payments were for
- Food and Beverage$24.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Crossville
- 1962814889
- 1386467702
- 1184175739
- 1447965827
- 1659137461
- 1205871761
- 1730975293
- 1073899746
- 1306692157
- 1992354096
- 1467501379
- 1972856409