JUSTIN PETTIT PA
NPI 1841037272
Physician Assistant in Johnson City, TN

Active since July 12, 2024PECOS EnrolledAccepts Medicare Assignment
2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justin Pettit Pa NPPES

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

JUSTIN PETTIT PA (NPI 1841037272) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (6049) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841037272
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN PETTITCredential: PA
Location Address2410 SUSANNAH STJohnson City, TN 37601-1748
Mailing Address2410 Susannah StJohnson City, TN 37601-1748 · (423) 282-9011
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
NPI 1841037272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 6049
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
2410 SUSANNAH ST, Johnson City, TN 37601

Secondary Practice Locations 2

Location 1340 Steeles RdBristol, TN 37620-9532 · Phone (423) 282-9011
Location 2875 Larry Neil WayKingsport, TN 37660-6368 · Phone (423) 245-5540

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Pettit Pa 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 ID6901343151
PECOS Enrollment IDI20240806000074
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.

Hospital Affiliations CMS Care Compare

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physician Assistant (Surgical)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Specialist/Technologist (Athletic Trainer)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841037272, enumerated as an "individual" on July 12, 2024.

The provider is located at 2410 SUSANNAH ST JOHNSON CITY, TN 37601 and the phone number is (423) 282-9011.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and. Please consult your insurance carrier or call the provider to verify.

Justin Pettit is affiliated with: WELLMONT BRISTOL REGIONAL MEDICAL CENTER.