WATAUGA PATHOLOGY ASSOCIATES PC
NPI 1174820971
Clinical Medical Laboratory in Johnson City, TN
About Watauga Pathology Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATAUGA PATHOLOGY ASSOCIATES PC (NPI 1174820971) is a healthcare organization registered as a clinical medical laboratory in Johnson City, Tennessee and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists David Soike, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Watauga Pathology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Watauga Pathology Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians, nearest first (13)
Mountain Home, TN 37684
Greeneville, TN 37745
Richmond, VA 23298
Baltimore, MD 21287
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 44D0923531
Watauga Pathology Associates PC · Johnson City, TNCertificate of Compliance 44D0971169
Watauga Pathology Associates Dba East Tennessee Ambulatory Surgery Ctr · Johnson City, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Watauga Pathology Associates PC's NPI number?
The NPI number for Watauga Pathology Associates PC is 1174820971. It was assigned to this organization in the NPPES registry on February 15, 2011.
Where is Watauga Pathology Associates PC located?
Watauga Pathology Associates PC is located at 1725 W Market St, Johnson City, TN 37604. The listed phone number is (423) 431-1310.
What is Watauga Pathology Associates PC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Watauga Pathology Associates PC enrolled in Medicare?
Yes. Watauga Pathology Associates PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Watauga Pathology Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Pathology, reassign their Medicare billing to Watauga Pathology Associates PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Watauga Pathology Associates PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Watauga Pathology Associates PC was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.