| Tri State Mountain Neurology Associates Pc | |
|
1321 Sunset Drive Suite 11 Johnson City TN 37604-7902 | |
| (423) 928-6174 | |
| (423) 926-2258 |
| Full Name | Tri State Mountain Neurology Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1321 Sunset Drive, Johnson City, Tennessee |
| Authorized Official Name and Position | Nathaniel R Whaley (SECRETARY) |
| Authorized Official Contact | 4239286174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Mountain Neurology Associates Pc 1321 Sunset Drive Suite 11 Johnson City TN 37604-7902 Ph: (423) 928-6174 | Tri State Mountain Neurology Associates Pc 1321 Sunset Drive Suite 11 Johnson City TN 37604-7902 Ph: (423) 928-6174 |
| NPI Number | 1801823638 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Medicare PECOS PAC ID | 4587753892 |
|---|---|
| Medicare Enrollment ID | O20071208000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801823638 | NPI | - | NPPES |
| 164888600 | Other | OWCP | |
| 000009788 | Other | TN | BCBS |
| 3380796 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Thomas Perry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043343692 PECOS PAC ID: 8325134166 Enrollment ID: I20071010000154 |
| Provider Name | John M Dengler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396790085 PECOS PAC ID: 9436249620 Enrollment ID: I20080724000747 |
| Provider Name | Nathaniel R Whaley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245213545 PECOS PAC ID: 4284787011 Enrollment ID: I20090727000811 |
| Provider Name | Stephen Michael Kimbrough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851345235 PECOS PAC ID: 5395834600 Enrollment ID: I20100720000165 |
| Provider Name | Shelly Dorene Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962784603 PECOS PAC ID: 4880866805 Enrollment ID: I20111017000108 |
| Provider Name | Brandy Story |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093212516 PECOS PAC ID: 2163777038 Enrollment ID: I20180618000650 |
| Provider Name | Heather Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902405947 PECOS PAC ID: 6103236534 Enrollment ID: I20201113000267 |
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: 2700 S Roan St Ste 435, Johnson City, TN 37601 Phone: 423-408-8041 | |
Woodridge Hospital 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 | |
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 | |
Ballad Health Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Professional Park Dr, Suite 15, Johnson City, TN 37604 Phone: 423-979-0565 Fax: 423-979-0569 |