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EAST TENNESSEE MEDICAL ASSOCIATES, P.C.
NPI 1619089034
Internal Medicine - Nephrology in Johnson City, TN

Active since August 31, 2006CLIA 44D0310587 · Microscopy
107 WOODLAWN DR, JOHNSON CITY, TN 37604(423) 929-7158(423) 928-9625 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Tennessee Medical Associates, P.c. NPPES

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

EAST TENNESSEE MEDICAL ASSOCIATES, P.C. (NPI 1619089034) is a healthcare organization registered as a nephrology in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through January 8, 2028 and lists Stanley E Vermillion, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1619089034
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameEAST TENNESSEE MEDICAL ASSOCIATES, P.C.
Location Address107 WOODLAWN DRJohnson City, TN 37604-5978
Mailing Address107 Woodlawn DrJohnson City, TN 37604-5978 · (423) 929-7158 · Fax (423) 928-9625
Phone(423) 929-7158
Fax(423) 928-9625
Organization SubpartNo
Authorized OfficialStanley E VermillionVice-president · (423) 929-7158
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 13, 2010
✔ NPI 1619089034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · MD6775
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
107 WOODLAWN DR, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN3378504TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0310587

East Tennessee Medical Associates · Johnson City, TN
Active · expires Jan 8, 2028
CLIA Number44D0310587
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorDr. Martin Q. Tran
Laboratory Phone(423) 929-7158
Laboratory LocationEast Tennessee Medical Associates107 Woodlawn Dr Ste 200, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. LESLIE WEYLON PANUS M.D.
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7168
DR. CLIFFORD FRANK WIEGAND MD
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
DR. STANLEY EUGENE VERMILLION MD
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
DR. MARTIN QUAN TRAN D.O.
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
TENNESSEE VALLEY DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
107 WOODLAWN DR, STE 2
JOHNSON CITY, TN 37604
Washington County (423) 926-2976

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 East Tennessee Medical Associates, P.C.'s NPI number?

The NPI number for East Tennessee Medical Associates, P.C. is 1619089034. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is East Tennessee Medical Associates, P.C. located?

East Tennessee Medical Associates, P.C. is located at 107 Woodlawn Dr, Johnson City, TN 37604. The listed phone number is (423) 929-7158.

What is East Tennessee Medical Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does East Tennessee Medical Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0310587) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Tennessee Medical Associates, P.C. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Tennessee Medical Associates, P.C. 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 East Tennessee Medical Associates, P.C. was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.