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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SWARNA REDDY MD
NPI 1528044583
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-7111 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Sep 12, 2025 (2 updates tracked since 2025).

About Swarna Reddy Md NPPES

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

SWARNA REDDY MD (NPI 1528044583) is an individual psychiatry provider in Johnson City, Tennessee, licensed in Virginia (0101236578) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Russell County Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1528044583
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSWARNA REDDYCredential: MD
Location Address403 N STATE OF FRANKLIN RDJohnson City, TN 37604-6034
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Phone(423) 431-7111
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1528044583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in VA · 0101236578✔ Licensed in TN · 61952
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 61952 (TN), 0101236578 (VA)
403 N STATE OF FRANKLIN RD, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Locations 4

Location 171 S Flannagan AveLebanon, VA 24266-4575 · Phone (276) 415-9160
Location 2312 Hospital DrClintwood, VA 24228-6786 · Phone (276) 926-0251
Location 358 Carroll StLebanon, VA 24266-4510 · Phone (276) 883-8000
Location 48680 Hospital WayManassas, VA 20110-4287 · Phone (703) 369-8464 ext. 2 · Fax (703) 369-8467

Other Identifiers 1

Medicaid1528044583VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Swarna Reddy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496711830
PECOS Enrollment IDI20041207000751, I20201207000051
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Swarna Reddy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
Same address
Psychiatry
403 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Also billed through NPI 1962434068 (Virginia)
  • 496 clinicians in this Medicare group
NPI 1093120222 (423) 431-7047
Wellmont Medical Associates, Inc.
1.9 mi
Internal Medicine
161 HEART DR STE A
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1154789030 (423) 282-0751
Dickenson Community Hospital, Inc.
59 mi
Psychiatry
364 HOSPITAL DR
Clintwood, VA 24228
  • Reassigned Medicare billing, Virginia enrollment
  • 21 clinicians in this Medicare group
NPI 1679992358 (276) 926-0330
Mary Washington Healthcare Physicians
303 mi
Family Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 547 clinicians in this Medicare group
NPI 1295999852 (540) 741-1100
Prince William County Community Services Board
317 mi
Mental Health (Including Community Mental Health Center)
7969 ASHTON AVE
Manassas, VA 20109
  • Reassigned Medicare billing, Virginia enrollment
  • 141 clinicians in this Medicare group
NPI 1053402800 (703) 792-7800
County Of Loudoun, Virginia
329 mi
Mental Health (Including Community Mental Health Center)
102 HERITAGE WAY NE, SUITE 310
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 59 clinicians in this Medicare group
NPI 1386753291 (703) 737-8677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Russell County Hospital

Acute Care Hospitals · Lebanon, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490002
Location58 Carroll StreetLebanon, VA 24266 · Russell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

MOUNTAIN STATES HEALTH ALLIANCE
Psychiatric Unit
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7047
SAVANNAH R BOLES RT(R)(MR)RN
Student in an Organized Health Care Education/Training Program
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
MR. MARC DOMINIC HARRINGTON MA, LPC
Counselor (Professional)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
CLAY BLANCHETT MD
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
JEFFREY WAYNE MARGESON NP
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7011
RODNEY A HOUGHTON MD
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7013
MR. ADAM J. HORN NP
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7047

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 Swarna Reddy's NPI number?

The NPI number for Swarna Reddy is 1528044583. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Swarna Reddy located?

Swarna Reddy practices at 403 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-7111.

What is Swarna Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Swarna Reddy enrolled in Medicare?

Yes. Swarna Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Swarna Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swarna Reddy reassigns Medicare benefits to 6 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN), Wellmont Medical Associates, Inc. (Johnson City, TN), Dickenson Community Hospital, Inc. (Clintwood, VA), Mary Washington Healthcare Physicians (Fredericksburg, VA), Prince William County Community Services Board (Manassas, VA) and 1 more organization, listed in the Medicare section above. Each 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 Swarna Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swarna Reddy accept?

Health plans from Cigna Healthcare, Oscar Health and UnitedHealthcare list Swarna Reddy 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.

Is Swarna Reddy affiliated with any hospitals?

According to CMS data, Swarna Reddy is affiliated with Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Swarna Reddy was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.