| New Life Medicine | |
|
2408 Susannah St Ste 1 Johnson City TN 37601-1765 | |
| (423) 434-6677 | |
| (423) 461-0000 |
| Full Name | New Life Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2408 Susannah St Ste 1, Johnson City, Tennessee |
| Authorized Official Name and Position | Daniel Tackling (CFO) |
| Authorized Official Contact | 4234346677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Medicine 2408 Susannah St Ste 1 Johnson City TN 37601-1765 Ph: (423) 434-6677 | New Life Medicine 2408 Susannah St Ste 1 Johnson City TN 37601-1765 Ph: (423) 434-6677 |
| NPI Number | 1114462215 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 9436434909 |
|---|---|
| Medicare Enrollment ID | O20170323002169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114462215 | NPI | - | NPPES |
| 2017139831 | Medicaid | VA | |
| 7100519480 | Medicaid | KY | |
| Q026013 | Medicaid | TN |
| Provider Name | Carrie N Lingerfelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497784136 PECOS PAC ID: 4880635937 Enrollment ID: I20050518001056 |
| Provider Name | Emmalea Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073891701 PECOS PAC ID: 1759550478 Enrollment ID: I20110812000514 |
| Provider Name | Jason Della Vecchia |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770554982 PECOS PAC ID: 6901886159 Enrollment ID: I20120319000381 |
| Provider Name | Chambless R Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790972628 PECOS PAC ID: 9335287481 Enrollment ID: I20120601000358 |
| Provider Name | Joshua A Morris |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1215224902 PECOS PAC ID: 1951528173 Enrollment ID: I20140926001387 |
| Provider Name | Jared W Pack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163101 PECOS PAC ID: 0042587529 Enrollment ID: I20170605001972 |
| Provider Name | Rebecca Greenway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174709323 PECOS PAC ID: 8729328604 Enrollment ID: I20190313001744 |
| Provider Name | Marianne E Filka |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1174525307 PECOS PAC ID: 1456317809 Enrollment ID: I20191023003744 |
| Provider Name | Kristin Rae Mckamey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811527609 PECOS PAC ID: 3173952843 Enrollment ID: I20200331002533 |
| Provider Name | Ashlyn Nicole Morehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962126128 PECOS PAC ID: 2365819091 Enrollment ID: I20221109000234 |
| Provider Name | Ashley Greenway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508477274 PECOS PAC ID: 2567881683 Enrollment ID: I20230319000099 |
| Provider Name | Lacinda R Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780948034 PECOS PAC ID: 5395270482 Enrollment ID: I20241126003198 |
| Provider Name | Christina Millinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104331396 PECOS PAC ID: 3577823541 Enrollment ID: I20250116000725 |
Summit Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4132 Bristol Hwy Ste 5, Johnson City, TN 37601 Phone: 423-946-1659 Fax: 423-283-4958 | |
The Journey Center For Healing Arts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 W Unaka Ave, Johnson City, TN 37604 Phone: 828-713-9003 | |
Mountain States Health Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-7111 Fax: 423-431-7301 | |
Appalachian Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Swadley Rd Apt 3, Johnson City, TN 37601 Phone: 423-948-9583 | |
Papillon Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699 | |
Spark Integrative Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2700 S Roan St Ste 300a, Johnson City, TN 37601 Phone: 423-722-2422 Fax: 423-722-2400 | |
Adult And Geriatric Psychiatry Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1618 Strawberry Ln, Johnson City, TN 37604 Phone: 423-677-6787 |