WELLMONT MEDICAL ASSOCIATES, INC.
NPI 1154789030
Internal Medicine in Johnson City, TN

NPI Status: Active since February 05, 2016

Contact Information

161 HEART DR STE A
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-0751
Fax: (423) 282-1577

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  • Organization
  • Internal Medicine
  • CLIA Number: 44D2244189
  • CLIA Cert. Type: Other - OUTPATIENT DIGANOSTIC
  • CLIA Exp. Date: 11-29-2025

About WELLMONT MEDICAL ASSOCIATES, INC.

This page provides the complete NPI Profile along with additional information for Wellmont Medical Associates, Inc., an internist established in Johnson City, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1154789030 assigned on February 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Wellmont Medical Associates, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Juanita L Harwood (Director)

NPI
1154789030
Provider Legal Name
WELLMONT MEDICAL ASSOCIATES, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
161 HEART DR STE A JOHNSON CITY, TN 37604
Location Phone
(423) 282-0751
Location Fax
(423) 282-1577
Mailing Address
1021 W OAKLAND AVE STE 310 JOHNSON CITY, TN 37604
Mailing Phone
(423) 302-6567
Mailing Fax
(423) 282-1577
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2016
Last Update Date
10-07-2025
Code Navigator

An internist like Wellmont Medical Associates, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUANITA L HARWOOD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(423) 302-6565

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2244189
Facility Type
Other - OUTPATIENT DIGANOSTIC
Certificate Effective Date
November 30, 2023
Certificate Expiration Date
November 29, 2025
Laboratory Director
JAMES KOONCE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellmont Medical Associates, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154789030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 4 + 8 + 1 + 8 + 0 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1154789030.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
161 HEART DR STE A
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154789030, enumerated as an "organization" on February 05, 2016.

The provider is located at 161 HEART DR STE A JOHNSON CITY, TN 37604 and the phone number is (423) 282-0751.

Internal Medicine with taxonomy code 207R00000X.