Integrated Health Transitions, Pllc | |
208 Sunset Drive Suite 210 Johnson City TN 37604 | |
(423) 926-2358 | |
(423) 926-2680 |
Full Name | Integrated Health Transitions, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 208 Sunset Drive, Johnson City, Tennessee |
Authorized Official Name and Position | Bert Jackson Smith (PROVIDER/OWNER) |
Authorized Official Contact | 4239262358 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integrated Health Transitions, Pllc 208 Sunset Drive Suite 210 Johnson City TN 37604 Ph: (423) 926-2358 | Integrated Health Transitions, Pllc 208 Sunset Drive Suite 210 Johnson City TN 37604 Ph: (423) 926-2358 |
NPI Number | 1922463470 |
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Provider Enumeration Date | 12/29/2015 |
Last Update Date | 06/07/2022 |
Medicare PECOS PAC ID | 7315242302 |
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Medicare Enrollment ID | O20160301000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922463470 | NPI | - | NPPES |
Q020910 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42425 (Tennessee) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Angela H Sullivan-bowman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063405553 PECOS PAC ID: 6608776927 Enrollment ID: I20040112000479 |
Provider Name | Nicholas J Dieringer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124003561 PECOS PAC ID: 1850375981 Enrollment ID: I20040616000754 |
Provider Name | Don E Adams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245215847 PECOS PAC ID: 6709866817 Enrollment ID: I20040721000138 |
Provider Name | Donald G Polk |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942294863 PECOS PAC ID: 5991776866 Enrollment ID: I20040804000351 |
Provider Name | James A Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184602898 PECOS PAC ID: 0547230096 Enrollment ID: I20040914000203 |
Provider Name | Kimberly A Russell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194753293 PECOS PAC ID: 7911932199 Enrollment ID: I20050927001410 |
Provider Name | Carla L Gillespie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295762276 PECOS PAC ID: 0547232878 Enrollment ID: I20050930000636 |
Provider Name | Charles A Ball |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154344836 PECOS PAC ID: 9537137401 Enrollment ID: I20060209000275 |
Provider Name | Nena W Egli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376580613 PECOS PAC ID: 3779590328 Enrollment ID: I20060307000695 |
Provider Name | Joseph Sabry Radawi |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285686451 PECOS PAC ID: 2365481892 Enrollment ID: I20070319000400 |
Provider Name | Kelley V Jefferson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154398105 PECOS PAC ID: 9335210616 Enrollment ID: I20080613000067 |
Provider Name | Bert J Smith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497839070 PECOS PAC ID: 4587738877 Enrollment ID: I20080805000250 |
Provider Name | Tammy Lynn Ridley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992971238 PECOS PAC ID: 8729102843 Enrollment ID: I20100826000421 |
Provider Name | Brandon Lee Maroney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366726812 PECOS PAC ID: 8123291820 Enrollment ID: I20111025000282 |
Provider Name | Kathleen J Locker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578698270 PECOS PAC ID: 4082696968 Enrollment ID: I20120123000063 |
Provider Name | Debra A Sharpe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760629547 PECOS PAC ID: 8426203944 Enrollment ID: I20130306000219 |
Provider Name | Gabriela P Orozco |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891968061 PECOS PAC ID: 0143475491 Enrollment ID: I20130313000044 |
Provider Name | Laura G Eaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629400064 PECOS PAC ID: 8921242025 Enrollment ID: I20130911000286 |
Provider Name | Lauren L Mccroskey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861816704 PECOS PAC ID: 4789807256 Enrollment ID: I20140602001704 |
Provider Name | Celeste Harnden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316235997 PECOS PAC ID: 5092957712 Enrollment ID: I20140919001898 |
Provider Name | Whitney M Matchette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831504323 PECOS PAC ID: 0446576151 Enrollment ID: I20150223001666 |
Provider Name | Nicole A Paier-mullan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740311521 PECOS PAC ID: 9335317940 Enrollment ID: I20150326001419 |
Provider Name | Jennifer A Lay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508254350 PECOS PAC ID: 4789901646 Enrollment ID: I20150402001864 |
Provider Name | Mary R Mcnees |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043768435 PECOS PAC ID: 7719267426 Enrollment ID: I20170103001511 |
Provider Name | Kelly Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235675943 PECOS PAC ID: 3779867262 Enrollment ID: I20170301000378 |
Provider Name | Sarah L Hood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932639317 PECOS PAC ID: 2062771918 Enrollment ID: I20180122002684 |
Provider Name | Joellen B Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447742259 PECOS PAC ID: 7911257761 Enrollment ID: I20180829001632 |
Provider Name | Alexandra M Bowling |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1073996948 PECOS PAC ID: 5597063495 Enrollment ID: I20180905002536 |
Provider Name | Alexandria Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346726775 PECOS PAC ID: 1850641036 Enrollment ID: I20180910001185 |
Provider Name | Megan J Bode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194216184 PECOS PAC ID: 7719230838 Enrollment ID: I20181018002946 |
Provider Name | Krista Nicole Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477028256 PECOS PAC ID: 4385981018 Enrollment ID: I20190202000217 |
Provider Name | Kayla M Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306329818 PECOS PAC ID: 3173862380 Enrollment ID: I20190306001845 |
Provider Name | Christie L Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194293894 PECOS PAC ID: 3779821806 Enrollment ID: I20190717003683 |
Provider Name | Hannah Kai Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114561693 PECOS PAC ID: 3173953510 Enrollment ID: I20200424002913 |
Provider Name | Hannah Chong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033618228 PECOS PAC ID: 4981969045 Enrollment ID: I20200425000222 |
Provider Name | Christy Bantong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598295826 PECOS PAC ID: 5799057188 Enrollment ID: I20200604003242 |
Provider Name | Brittany Baldwin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043740558 PECOS PAC ID: 6103198437 Enrollment ID: I20200716003137 |
Provider Name | Jennifer Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649801994 PECOS PAC ID: 5496179145 Enrollment ID: I20200728001308 |
Provider Name | Hannah Gump |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144823121 PECOS PAC ID: 6507272770 Enrollment ID: I20210312001654 |
Provider Name | Alexis Jade Alley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346961166 PECOS PAC ID: 6507232402 Enrollment ID: I20221018001916 |
Provider Name | Carol Thomison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659086296 PECOS PAC ID: 2567835408 Enrollment ID: I20230224000376 |
Provider Name | Amanda W Works |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215641915 PECOS PAC ID: 1658745856 Enrollment ID: I20230329001008 |
Provider Name | Kara Marino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295141471 PECOS PAC ID: 1951521913 Enrollment ID: I20230726003544 |
Provider Name | Ashley L Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184306847 PECOS PAC ID: 2961866397 Enrollment ID: I20230918003036 |
Provider Name | Amber Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215466735 PECOS PAC ID: 1759737042 Enrollment ID: I20231023002203 |
Provider Name | Camille Lee Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639825300 PECOS PAC ID: 6709252893 Enrollment ID: I20250109000297 |
Provider Name | Jordan Davenport |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609601053 PECOS PAC ID: 6103355714 Enrollment ID: I20250130003924 |
Provider Name | Erin Hale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952019697 PECOS PAC ID: 4587192745 Enrollment ID: I20250207001946 |
Provider Name | Cheryl Ann Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275396301 PECOS PAC ID: 5597295204 Enrollment ID: I20250211001834 |
Provider Name | Patricia Mcdougall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326252685 PECOS PAC ID: 8426139155 Enrollment ID: I20250305003982 |
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 |