| Gastrointestinal Associates Of Northeast Tennessee, Pc | |
|
310 N State Of Franklin Rd Suite 202 Johnson City TN 37604-6008 | |
| (423) 929-7111 | |
| (423) 929-9448 |
| Full Name | Gastrointestinal Associates Of Northeast Tennessee, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 N State Of Franklin Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Penny B Rutledge (ADMINISTRATOR) |
| Authorized Official Contact | 4239297111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrointestinal Associates Of Northeast Tennessee, Pc 310 N State Of Franklin Rd Suite 202 Johnson City TN 37604-6008 Ph: (423) 929-7111 | Gastrointestinal Associates Of Northeast Tennessee, Pc 310 N State Of Franklin Rd Suite 202 Johnson City TN 37604-6008 Ph: (423) 929-7111 |
| NPI Number | 1578529632 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7416923396 |
|---|---|
| Medicare Enrollment ID | O20040902000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578529632 | NPI | - | NPPES |
| 3703470 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Tennessee) | Primary |
| Provider Name | Mark F Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568466969 PECOS PAC ID: 3971577214 Enrollment ID: I20040823001331 |
| Provider Name | Melissa C Chiles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205805272 PECOS PAC ID: 6002807054 Enrollment ID: I20041223000187 |
| Provider Name | Puneet Goenka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720082126 PECOS PAC ID: 1850415134 Enrollment ID: I20100824000971 |
| Provider Name | David Welch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871597278 PECOS PAC ID: 1557485752 Enrollment ID: I20100825000104 |
| Provider Name | Lawrence Wendell Schmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427052828 PECOS PAC ID: 0648394841 Enrollment ID: I20100825000280 |
| Provider Name | Chakradhar Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548360332 PECOS PAC ID: 2668563396 Enrollment ID: I20110907001092 |
| Provider Name | Bradly Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023098928 PECOS PAC ID: 2961465588 Enrollment ID: I20111115000123 |
| Provider Name | Kimberly H Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427321942 PECOS PAC ID: 8820259336 Enrollment ID: I20120410000479 |
| Provider Name | James Wesley Denham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902088644 PECOS PAC ID: 3870755804 Enrollment ID: I20120508000555 |
| Provider Name | Niki Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770843583 PECOS PAC ID: 7315195096 Enrollment ID: I20120921000482 |
| Provider Name | Courtney Delaine Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386988665 PECOS PAC ID: 2365695038 Enrollment ID: I20130104000401 |
| Provider Name | Jason Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225219306 PECOS PAC ID: 4789823782 Enrollment ID: I20130624000688 |
| Provider Name | Melanie Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902237985 PECOS PAC ID: 4082846480 Enrollment ID: I20140417002129 |
| Provider Name | Emily M Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801203690 PECOS PAC ID: 8729208418 Enrollment ID: I20140930003088 |
| Provider Name | Shandon L Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659817377 PECOS PAC ID: 2163708967 Enrollment ID: I20170410002217 |
| Provider Name | Dhara J Chaudhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679879092 PECOS PAC ID: 6204104680 Enrollment ID: I20170608001730 |
| Provider Name | Ashley L Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538693809 PECOS PAC ID: 4981961711 Enrollment ID: I20171201001929 |
| Provider Name | Andrea L. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083125140 PECOS PAC ID: 0143559765 Enrollment ID: I20190907000004 |
| Provider Name | Michael B Villalba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972121127 PECOS PAC ID: 7810304136 Enrollment ID: I20210401001095 |
| Provider Name | Christie L Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538943915 PECOS PAC ID: 9739536707 Enrollment ID: I20231113002408 |
| Provider Name | Kristina E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992217707 PECOS PAC ID: 3476815986 Enrollment ID: I20250109001164 |
| Provider Name | Madeline L Mcinturff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093526113 PECOS PAC ID: 8325569254 Enrollment ID: I20250307003443 |
Mcc, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Watauga Ave, Johnson City, TN 37601 Phone: 423-722-8446 Fax: 423-722-5674 | |
Medical Education Assistance Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 | |
Wyche & Wyche, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Susannah St, Johnson City, TN 37601 Phone: 423-282-2542 Fax: 423-282-5447 | |
Imperial Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Lamons Ln Ste 230, Johnson City, TN 37604 Phone: 423-930-5168 Fax: 423-328-0193 | |
New Life Chiropractic And Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-4101 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N State Of Franklin Rd, Ste 301a, Johnson City, TN 37604 Phone: 423-431-6816 Fax: 423-431-2983 | |
State Of Franklin Healthcare Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2528 Wesley St, Suite 2, Johnson City, TN 37601 Phone: 423-794-2430 Fax: 423-283-9719 |