DOUGLAS EDEMA
NPI 1386902971
Family Medicine in Johnson City, TN

Active since May 02, 2012
1021 W OAKLAND AVE, SUITE 207, JOHNSON CITY, TN 37604(423) 915-5116(423) 915-5101 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Edema NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS EDEMA (NPI 1386902971) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (MD0000047134) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1386902971
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS EDEMA
Location Address1021 W OAKLAND AVE, SUITE 207Johnson City, TN 37604-2191
Mailing Address1021 W Oakland Ave, Suite 207Johnson City, TN 37604-2191 · (423) 915-5116 · Fax (423) 915-5101
Fax(423) 915-5101
Sole ProprietorNo
Enumeration DateMay 2, 2012
NPI 1386902971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD0000047134
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1021 W OAKLAND AVE, Johnson City, TN 37604

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Family Medicine
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
1021 W OAKLAND AVE
JOHNSON CITY, TN 37604
Personal Emergency Response Attendant
1021 W OAKLAND AVE, SUITE 310
JOHNSON CITY, TN 37604
Family Medicine
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Dentist (Oral and Maxillofacial Surgery)
1021 W OAKLAND AVE, SUITE 109
JOHNSON CITY, TN 37604
Physician Assistant (Medical)
1021 W OAKLAND AVE, SUITE 301
JOHNSON CITY, TN 37604
Emergency Medicine
1021 W OAKLAND AVE, SUITE 201
JOHNSON CITY, TN 37604

Frequently 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 Douglas Edema's NPI number?

The NPI number for Douglas Edema is 1386902971. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Douglas Edema located?

Douglas Edema practices at 1021 W Oakland Ave Suite 207, Johnson City, TN 37604. The listed phone number is (423) 915-5116.

What is Douglas Edema's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Douglas Edema was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.