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SAMARDIA MISSICK MD
NPI 1720498777
Internal Medicine - Nephrology in Johnson City, TN

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
107 WOODLAWN DR STE 200, JOHNSON CITY, TN 37604(423) 929-7158 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 13, 2017, May 11, 2017 (2 updates tracked since 2017).

About Samardia Missick Md NPPES

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

SAMARDIA MISSICK MD (NPI 1720498777) is an individual nephrology provider in Johnson City, Tennessee, licensed in Tennessee (0000059403) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720498777
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSAMARDIA MISSICKCredential: MD
Location Address107 WOODLAWN DR STE 200Johnson City, TN 37604-6287
Mailing Address107 Woodlawn Dr Ste 200Johnson City, TN 37604-6287
Phone(423) 929-7158
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 30, 2014
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1720498777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in TN · 0000059403✔ Licensed in FL · ME131895
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 STE 200, Johnson City, TN 37604
Open in Google Maps ↗

Accepted Insurance

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

Samardia Missick 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 ID7012213317
PECOS Enrollment IDI20190829004355
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 Reassignment

Medicare enrollment records show Samardia Missick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Tennessee Medical Associates, P.C.
Same address
Nephrology
107 WOODLAWN DR
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group
NPI 1619089034 (423) 929-7158

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 10

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.

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.
463 services150 patients
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.
254 services132 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services122 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
133 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
111 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services57 patients

Hospital Affiliations CMS Care Compare 4

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.38
Promoting Interoperability100
Improvement Activities40
Cost63.22

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier19 claims1,065 services$0.31 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims495 services$2.76 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier20 claims21 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ZAID ELKARMI MD
Internal Medicine (Nephrology)
107 WOODLAWN DR STE 200
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
MUHAMMAD OWAIS MALIK MD
Internal Medicine (Nephrology)
107 WOODLAWN DR STE 200
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
MS. CYNTHIA K MARSH NP
Internal Medicine (Nephrology)
107 WOODLAWN DR STE 200
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
SIDNEY ANDREANA GREENE DO
Internal Medicine (Nephrology)
107 WOODLAWN DR STE 200
JOHNSON CITY, TN 37604
Washington County (423) 929-7158

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 Samardia Missick's NPI number?

The NPI number for Samardia Missick is 1720498777. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Samardia Missick located?

Samardia Missick practices at 107 Woodlawn Dr Ste 200, Johnson City, TN 37604. The listed phone number is (423) 929-7158.

What is Samardia Missick's specialty?

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

Is Samardia Missick enrolled in Medicare?

Yes. Samardia Missick 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 organization bills Medicare for Samardia Missick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samardia Missick reassigns Medicare benefits to East Tennessee Medical Associates, P.C. (Johnson City, TN). The 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 Samardia Missick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samardia Missick accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Samardia Missick 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 Samardia Missick affiliated with any hospitals?

According to CMS data, Samardia Missick is affiliated with Sycamore Shoals Hospital, Greeneville Community Hospital, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Samardia Missick was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.