EAST TENNESSEE MEDICAL ASSOCIATES, P.C.
NPI 1619089034
Internal Medicine - Nephrology in Johnson City, TN
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 Melissa Ann Owens, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Tennessee Medical Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to East Tennessee Medical Associates, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Johnson City, TN 37604
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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.
Is East Tennessee Medical Associates, P.C. enrolled in Medicare?
Yes. East Tennessee Medical Associates, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Tennessee Medical Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to East Tennessee Medical Associates, P.C.. A 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 the clinician's services. The largest specialties are Nephrology (5) and Nurse Practitioner (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# East Tennessee Medical Associates, P.c. · NPI 1619089034
Nephrology organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1619089034 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Melissa Owens, PRACTICE MANAGER
## Practice location
- **Address:** 107 WOODLAWN DR, Johnson City, TN 37604-5978
- **Phone:** (423) 929-7158 · **Fax:** (423) 928-9625
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (5), Nurse Practitioner (3); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619089034) · Data from the CMS NPPES public registry.