Emmaus Community Healthcare, Pllc - Medicare Primary Care in Piney Flats, TN

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Emmaus Community Healthcare, Pllc is a medicare enrolled primary clinic (General Practice) in Piney Flats, Tennessee. The current practice location for Emmaus Community Healthcare, Pllc is 6419 Bristol Highway, Piney Flats, Tennessee. For appointments, you can reach them via phone at (423) 538-5202. The mailing address for Emmaus Community Healthcare, Pllc is 509 Medtech Pkwy, Johnson City, Tennessee and phone number is (423) 952-2122.

Emmaus Community Healthcare, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356379093. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 538-5202.

Contact Information

Emmaus Community Healthcare, Pllc
6419 Bristol Highway
Piney Flats
TN 37686
(423) 538-5202
(423) 538-8208

Map and Direction


Primary Care Clinic Profile

Full NameEmmaus Community Healthcare, Pllc
SpecialityGeneral Practice
Location6419 Bristol Highway, Piney Flats, Tennessee
Authorized Official Name and PositionCharles L Backus (AUTHORIZED OFFICIAL)
Authorized Official Contact4235385202
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emmaus Community Healthcare, Pllc
509 Medtech Pkwy
Johnson City
TN 37604

Ph: (423) 952-2122		Emmaus Community Healthcare, Pllc
6419 Bristol Highway
Piney Flats
TN 37686

Ph: (423) 538-5202

NPI Details:

NPI Number1356379093
Provider Enumeration Date06/29/2006
Last Update Date10/07/2025

Medicare PECOS Information:

Medicare PECOS PAC ID3870560741
Medicare Enrollment IDO20040911000150

Medical Identifiers

Medical identifiers for Emmaus Community Healthcare, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356379093NPI-NPPES
3726460MedicaidTN
DD0861OtherTNRR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Emmaus Community Healthcare, Pllc acts as a billing entity for following providers:
Provider NameCharles L Backus
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801856414
PECOS PAC ID: 8729070107
Enrollment ID: I20040402001281
Provider NameJames M Shipley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912957937
PECOS PAC ID: 4486673019
Enrollment ID: I20051114000386
Provider NameAndrew N Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558562850
PECOS PAC ID: 8729189881
Enrollment ID: I20071204000815
Provider NameJames C Glass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336389824
PECOS PAC ID: 4284782152
Enrollment ID: I20090501000519
Provider NameMary Catherine Shipley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578107181
PECOS PAC ID: 8224459003
Enrollment ID: I20200603000958
Provider NameTaylor Alese Mccoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184254179
PECOS PAC ID: 8921410168
Enrollment ID: I20201214000375
Provider NameJean Inderfurth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851959712
PECOS PAC ID: 6002145695
Enrollment ID: I20220503000468
Provider NameElizabeth Ann Honeycutt-martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346993482
PECOS PAC ID: 6002292992
Enrollment ID: I20220929002250
Provider NameEden Marie Villiard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164144937
PECOS PAC ID: 2062882392
Enrollment ID: I20230103001744
Provider NameAndrea R Hooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871234500
PECOS PAC ID: 8820455595
Enrollment ID: I20230612001812

Reviews and Comments


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Phone: 423-666-0030    Fax: 423-666-0031
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.