Samardia Missick, MD in Johnson City, TN

Samardia Missick, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Johnson City, Tennessee. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice East Tennessee Medical Associates, P.c. and her current practice location is 107 Woodlawn Dr Ste 200, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 929-7158.

Samardia Missick is licensed to practice in Tennessee (license number 0000059403) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720498777.

Contact Information

	Samardia Missick, MD
	107 Woodlawn Dr Ste 200, Johnson City, TN 37604-6287
	(423) 929-7158
	Not Available

Map and Direction

Physician's Profile

Full Name	Samardia Missick
Gender	Female
Speciality	Nephrology
Experience	13 Years
Location	107 Woodlawn Dr Ste 200, Johnson City, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samardia Missick graduated from medical school in 2013

NPI Data:

NPI Number: 1720498777
Provider Enumeration Date: 04/30/2014
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 7012213317
Enrollment ID: I20190829004355

Medical Identifiers

Medical identifiers for Samardia Missick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720498777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	ME131895 (Florida)	Secondary
207RN0300X	Internal Medicine - Nephrology	0000059403 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc Johnson City	Johnson city, TN	Dialysis facility
Johnson City Medical Center	Johnson city, TN	Hospital
Franklin Woods Community Hospital	Johnson city, TN	Hospital
Greeneville Community Hospital	Greeneville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Tennessee Medical Associates, P.c.	2062460009	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samardia Missick allows following entities to bill medicare on her behalf.

Entity Name	East Tennessee Medical Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619089034 PECOS PAC ID: 2062460009 Enrollment ID: O20050106000879

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samardia Missick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samardia Missick, MD 107 Woodlawn Dr Ste 200, Johnson City, TN 37604-6287 Ph: () -	Samardia Missick, MD 107 Woodlawn Dr Ste 200, Johnson City, TN 37604-6287 Ph: (423) 929-7158

Reviews and Comments

Internal Medicine Doctors in Johnson City, TN

Dr. Alan Cox, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268
Dr. Sheeba Anand, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283
Dr. Charles Famoyin, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674
Dr. Tariq Ziad Haddadin, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838
Timothy O Mcbride, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
Dr. Joe Rupe, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940
John M Daniel, DO Nephrology Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353

Samardia Missick, MD - Medicare Nephrology in Johnson City, TN