DR. MARC A. FAGELSON PH.D., CCC-A
NPI 1760413116
Audiologist in Johnson City, TN

Q: What is Marc Fagelson's NPI number?

The NPI number for Marc Fagelson is 1760413116. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Marc Fagelson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Fagelson was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 05, 2006

156 S. DOSSETT DRIVE, JOHNSON CITY, TN 37614(423) 439-4355(423) 439-4607 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2019, Apr 5, 2019 (2 updates tracked since 2019).

On this page

About Dr. Marc A. Fagelson Ph.d., Ccc-a NPPES

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

DR. MARC A. FAGELSON PH.D., CCC-A (NPI 1760413116) is an individual audiologist in Johnson City, Tennessee, licensed in Tennessee (0000001136) and active in the NPI registry since July 2006. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1760413116

Entity TypeIndividualMale

Primary Taxonomy231H00000X

Provider Legal NameDR. MARC A. FAGELSONCredential: PH.D., CCC-A

Location Address156 S. DOSSETT DRIVEJohnson City, TN 37614

Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 439-4515 · Fax (423) 439-4060

Phone(423) 439-4355

Fax(423) 439-4607

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2024

✔ NPI 1760413116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in TN · 0000001136

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

156 S. DOSSETT DRIVE, Johnson City, TN 37614

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1807 University Pkwy, ETSU Campus Lamb Hall Room 361Johnson City, TN 37614-1702 · Phone (423) 439-4515 · Fax (423) 439-4607

Location 21000 Jason Witten WayElizabethton, TN 37643-2970 · Phone (423) 439-4355 · Fax (423) 543-0581

Location 32151 Century LaneJohnson City, TN 37604-4469 · Phone (423) 926-2500 · Fax (423) 926-5999

Other Identifiers 1

Medicaid3198223TN

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 (PECOS)

Dr. Marc A. Fagelson Ph.d., Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Medical Education Assistance Corporation

3.4 mi

Internal Medicine

101 MED TECH PKWY STE 306
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
341 clinicians in this Medicare group

NPI 1235180480 (423) 433-6039

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

TABITHA NICOLE FAIR RDH

Dental Hygienist

156 S. DOSSETT DRIVE
JOHNSON CITY, TN 37614

Washington County (423) 439-5237

MRS. KRISTY STRONG EISENZOPF M.ED., CCC-SLP

Speech-Language Pathologist

156 S. DOSSETT DRIVE, LAMB HALL, ROOM 363
JOHNSON CITY, TN 37614

Washington County (423) 439-4355

KERRY ELLEN PROCTOR-WILLIAMS PH.D., CCC-SLP

Speech-Language Pathologist

156 S. DOSSETT DRIVE, LAMB HALL, ROOM 363
JOHNSON CITY, TN 37614

Washington County (423) 439-4355

MRS. JENNIFER L QUILLEN M.S., CCC-SLP

Speech-Language Pathologist

156 S. DOSSETT DRIVE, LAMB HALL, ROOM 363
JOHNSON CITY, TN 37614

Washington County (423) 439-4355

LINDSAY A GREER CCC-SLP

Speech-Language Pathologist

156 S. DOSSETT DRIVE
JOHNSON CITY, TN 37614

Washington County (423) 439-4355

CHAYADEVIE GUNTUPALLI PH.D., CCC-SLP

Speech-Language Pathologist

156 S. DOSSETT DRIVE, LAMB HALL, ROOM 363
JOHNSON CITY, TN 37614

Washington County (423) 439-4355

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 Marc Fagelson's NPI number?

The NPI number for Marc Fagelson is 1760413116. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Marc Fagelson located?

Marc Fagelson practices at 156 S. Dossett Drive, Johnson City, TN 37614. The listed phone number is (423) 439-4355.

What is Marc Fagelson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Marc Fagelson enrolled in Medicare?

Yes. Marc Fagelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Fagelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Fagelson reassigns Medicare benefits to Medical Education Assistance Corporation (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 Marc Fagelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Fagelson 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 Marc Fagelson 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 Marc Fagelson was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.