PRESTIGE FAMILY MEDICINE
NPI 1730755083
Nurse Practitioner - Family in Johnson City, TN

Active since May 27, 2021CLIA 44D2172788 · Waiver
1409 W MARKET ST STE 108, JOHNSON CITY, TN 37604(423) 833-0033(423) 833-0031 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2021, May 27, 2021 (2 updates tracked since 2021).

About Prestige Family Medicine NPPES

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

PRESTIGE FAMILY MEDICINE (NPI 1730755083) is a healthcare organization registered as a family in Johnson City, Tennessee and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Debra Uncapher, Owner, as its authorized official.

NPPES Registry Identity

NPI1730755083
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDEBRA JO UNCAPHER
Location Address1409 W MARKET ST STE 108Johnson City, TN 37604-6005
Mailing Address1409 W Market St Ste 108Johnson City, TN 37604-6005 · (423) 833-0033 · Fax (423) 833-0031
Fax(423) 833-0031
Organization SubpartNo
Authorized OfficialDebra UncapherOwner · (423) 833-0033
Enumeration DateMay 27, 2021
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1730755083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1409 W MARKET ST STE 108, Johnson City, TN 37604

Other Names 1

Doing Business AsPrestige Family Medicine

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

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 44D2172788

Prestige Family Medicine · Johnson City, TN
Active · expires Sep 29, 2027
CLIA Number44D2172788
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDebra Uncapher
Laboratory Phone(423) 833-0033
Laboratory LocationPrestige Family Medicine1409 W Market Street Suite 108, Johnson City, TN 37604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1409 W MARKET ST STE 108
JOHNSON CITY, TN 37604

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 Debra Jo Uncapher's NPI number?

The NPI number for Debra Jo Uncapher is 1730755083. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Prestige Family Medicine.

Where is Debra Jo Uncapher located?

Debra Jo Uncapher is located at 1409 W Market St Ste 108, Johnson City, TN 37604. The listed phone number is (423) 833-0033.

What is Debra Jo Uncapher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Debra Jo Uncapher hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2172788) is associated with this NPI, valid through September 29, 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 Debra Jo Uncapher was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.