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MR. GORDON COBURN APRN, BC
NPI 1396810529
Nurse Practitioner - Psychiatric/Mental Health in Johnson City, TN

Active since November 22, 2006PECOS Enrolled
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gordon Coburn Aprn, Bc NPPES

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

MR. GORDON COBURN APRN, BC (NPI 1396810529) is an individual psychiatric/mental health provider in Johnson City, Tennessee, licensed in Tennessee (11054) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396810529
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. GORDON COBURNCredential: APRN, BC
Location Address119 BOONE RIDGE DR, SUITE 201Johnson City, TN 37615-4998
Mailing Address119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateApril 28, 2015
✔ NPI 1396810529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TN · 11054✔ Licensed in VA · 0024166489
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 11054 (TN), 0024166489 (VA)
119 BOONE RIDGE DR, Johnson City, TN 37615
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN10350I3965TN
Medicare UPINQ44474
Medicare PINVV9628BVA
MedicaidQ008267TN
Medicaid1504748TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gordon Coburn Aprn, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

AMBER RAMSEY FNP-BC
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
MRS. CARLEEN MARIE OGLE FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. CLAUDIA CORINA COX MD
Internal Medicine
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
CLAIRE D PARIS M.D.
Hospitalist
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. MICHAEL ALLEN KEITH O.D.
Optometrist
119 BOONE RIDGE DR, SUITE 101
JOHNSON CITY, TN 37615
Washington County (423) 283-7300
AMY HAMILTON FNP-C
Nurse Practitioner (Family)
119 BOONE RIDGE DR, STE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
COURTNEY D CONKIN FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
LINDSEY TOWNSEND ELSWICK FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480

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 Gordon Coburn's NPI number?

The NPI number for Gordon Coburn is 1396810529. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Gordon Coburn located?

Gordon Coburn practices at 119 Boone Ridge Dr Suite 201, Johnson City, TN 37615. The listed phone number is (423) 282-1480.

What is Gordon Coburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gordon Coburn enrolled in Medicare?

Yes. Gordon Coburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gordon Coburn was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.