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SAMANTHA DANIELLE LYON
NPI 1487262630
Psychologist - Clinical in Johnson City, TN

Active since July 14, 2020PECOS Enrolled
1043 JACK VEST DR, JOHNSON CITY, TN 37614(423) 439-4044 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Jul 14, 2020 (2 updates tracked since 2020).

About Samantha Danielle Lyon NPPES

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

SAMANTHA DANIELLE LYON (NPI 1487262630) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (3856) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487262630
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSAMANTHA DANIELLE LYON
Location Address1043 JACK VEST DRJohnson City, TN 37614-3761
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Phone(423) 439-4044
Sole ProprietorNo
Enumeration DateJuly 14, 2020
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1487262630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TN · 3856
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1043 JACK VEST DR, Johnson City, TN 37614
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Secondary Practice Locations 2

Location 17714 Conner RdPowell, TN 37849-3559 · Phone (865) 947-6220 · Fax (865) 512-1069
Location 24 Sheridan Sq Ste 200Kingsport, TN 37660-7435 · Phone (423) 246-7931

Other Identifiers 1

MedicaidQ078517TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Danielle Lyon 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 37614 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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 5

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

ELIZABETH COOK PT, DPT
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
AMANDA M MINICK PT
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
ALLISON WEHUNT BOURASSA PT, DPT, NCS, ATC
Physical Therapist (Neurology)
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
LUIS CARMONA
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
MICHAEL D CAVANAH
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044

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 Samantha Lyon's NPI number?

The NPI number for Samantha Lyon is 1487262630. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Samantha Lyon located?

Samantha Lyon practices at 1043 Jack Vest Dr, Johnson City, TN 37614. The listed phone number is (423) 439-4044.

What is Samantha Lyon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samantha Lyon enrolled in Medicare?

Yes. Samantha Lyon is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Lyon accept?

Health plans from BlueCross BlueShield of Tennessee list Samantha Lyon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Lyon was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.