SMOKIE MOUNTAIN DIALYSIS INC.
NPI 1417031071
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Johnson City, TN
About Smokie Mountain Dialysis Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SMOKIE MOUNTAIN DIALYSIS INC. (NPI 1417031071) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Johnson City, Tennessee and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Stanley Eugene Vermillion, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
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 Waiver 44D1046353
Latrobe Dialysis LLC Dba Smokie Mountain Dialysis · Johnson City, TNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
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 Smokie Mountain Dialysis Inc.'s NPI number?
The NPI number for Smokie Mountain Dialysis Inc. is 1417031071. It was assigned to this organization in the NPPES registry on October 24, 2006.
Where is Smokie Mountain Dialysis Inc. located?
Smokie Mountain Dialysis Inc. is located at 101 Med Tech Pkwy Suite 406, Johnson City, TN 37604. The listed phone number is (423) 232-8882.
What is Smokie Mountain Dialysis Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Does Smokie Mountain Dialysis Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D1046353) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Smokie Mountain Dialysis Inc. was last updated on April 4, 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.
# Smokie Mountain Dialysis Inc. · NPI 1417031071
End-Stage Renal Disease (ESRD) Treatment organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1417031071 (Entity type: Organization)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Organization subpart:** No
- **Authorized official:** Stanley Vermillion, PRESIDENT
## Practice location
- **Address:** 101 MED TECH PKWY, SUITE 406, Johnson City, TN 37604-4007
- **Phone:** (423) 232-8882
## Record status
- **NPPES last updated:** April 4, 2011
- **Other identifiers:** Medicaid 4146761 (TN); Medicare OSCAR/certification 442668 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417031071) · Data from the CMS NPPES public registry.