DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
NPI 1689134231
Family Medicine - Addiction Medicine in Johnson City, TN

Active since March 20, 2019CLIA 44D2168541 · Waiver
102 N BROADWAY ST, JOHNSON CITY, TN 37601(423) 588-9978(423) 722-3401 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Sep 30, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Dragonfly Medical And Behavioral Health Professsional Corporation NPPES

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

DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION (NPI 1689134231), doing business as Dragonfly Medical And Behavioral Health, is a healthcare organization registered as an addiction medicine in Johnson City, Tennessee and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Matthew John Caffrey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1689134231
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameDRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
Location Address102 N BROADWAY STJohnson City, TN 37601-3525
Mailing Address216 Quail Run CtJohnson City, TN 37601-5364 · (423) 525-7488
Fax(423) 722-3401
Organization SubpartNo
Authorized OfficialMatthew John CaffreyMedical Director · (423) 588-9978
Enumeration DateMarch 20, 2019
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1689134231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
102 N BROADWAY ST, Johnson City, TN 37601

Other Names 1

Doing Business AsDragonfly Medical And Behavioral Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dragonfly Medical And Behavioral Health Professsional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dragonfly Medical And Behavioral Health Professsional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1336330596
102 N BROADWAY ST
Johnson City, TN 37601
(423) 588-9978
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1356502389
917 W WALNUT ST
Johnson City, TN 37604
(423) 439-6464
✔ PECOS✔ Accepts Medicare2.3 mi

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 of Waiver 44D2168541

Dragonfly Medical And Behavioral Health · Johnson City, TN
Active · expires Jul 1, 2027
CLIA Number44D2168541
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorMatthew John Caffrey
Laboratory Phone(423) 588-9978
Laboratory LocationDragonfly Medical And Behavioral Health102 N Broadway Street, Johnson City, TN 37601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dragonfly Medical And Behavioral Health Professsional Corporation's NPI number?

The NPI number for Dragonfly Medical And Behavioral Health Professsional Corporation is 1689134231. It was assigned to this organization in the NPPES registry on March 20, 2019. The provider is doing business as Dragonfly Medical and Behavioral Health.

Where is Dragonfly Medical And Behavioral Health Professsional Corporation located?

Dragonfly Medical And Behavioral Health Professsional Corporation is located at 102 N Broadway St, Johnson City, TN 37601. The listed phone number is (423) 588-9978.

What is Dragonfly Medical And Behavioral Health Professsional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Dragonfly Medical And Behavioral Health Professsional Corporation enrolled in Medicare?

Yes. Dragonfly Medical And Behavioral Health Professsional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dragonfly Medical And Behavioral Health Professsional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dragonfly Medical And Behavioral Health Professsional Corporation, in Family Practice and Psychiatry. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dragonfly Medical And Behavioral Health Professsional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2168541) is associated with this NPI, valid through July 1, 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 Dragonfly Medical And Behavioral Health Professsional Corporation was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.