| Integrated Health Transitions, Pllc | |
|
3209 Bristol Hwy Johnson City TN 37601-1515 | |
| (423) 926-2358 | |
| (423) 926-2680 |
| Full Name | Integrated Health Transitions, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3209 Bristol Hwy, Johnson City, Tennessee |
| Authorized Official Name and Position | Bert Jackson Smith (CEO) |
| 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 2717 E Oakland Ave Johnson City TN 37601-1843 Ph: (423) 926-2358 | Integrated Health Transitions, Pllc 3209 Bristol Hwy Johnson City TN 37601-1515 Ph: (423) 926-2358 |
| NPI Number | 1922463470 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 09/17/2025 |
| Medicare PECOS PAC ID | 7315242302 |
|---|---|
| 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 | Galina Rader |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932138658 PECOS PAC ID: 1658314315 Enrollment ID: I20050603000968 |
| 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 | Diane Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284217 PECOS PAC ID: 5799904348 Enrollment ID: I20140915001279 |
| Provider Name | Celeste Harnden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316235997 PECOS PAC ID: 5092957712 Enrollment ID: I20140919001898 |
| Provider Name | Katherine J Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548576549 PECOS PAC ID: 3274776067 Enrollment ID: I20141015001954 |
| 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 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 | Lakita Mae Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825829 PECOS PAC ID: 3173922317 Enrollment ID: I20210524001305 |
| 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 | Cherie A Luffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497442636 PECOS PAC ID: 2567829799 Enrollment ID: I20230605000041 |
| 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 |
| Provider Name | Joselyn Ghulam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992137277 PECOS PAC ID: 5799005351 Enrollment ID: I20250321000497 |
| Provider Name | Lacey Nicolau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518778752 PECOS PAC ID: 2567882962 Enrollment ID: I20250403000727 |
| Provider Name | Cristy Rickita Mccrobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003616459 PECOS PAC ID: 2365961133 Enrollment ID: I20250523002297 |
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 |