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BOONES CREEK MEDICAL PLLC
NPI 1871528976
Family Medicine in Johnson City, TN

Active since July 11, 2006
2685 BOONES CREEK ROAD, SUITE 104, JOHNSON CITY, TN 37615(423) 282-0636(423) 282-1990 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Boones Creek Medical Pllc NPPES

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

BOONES CREEK MEDICAL PLLC (NPI 1871528976) is a healthcare organization registered as a family medicine in Johnson City, Tennessee and active in the NPI registry since July 2006. The organization lists Amber F Wilkinson, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1871528976
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOONES CREEK MEDICAL PLLC
Location Address2685 BOONES CREEK ROAD, SUITE 104Johnson City, TN 37615
Mailing Address1000 W Jackson Blvd Ste 5Jonesborough, TN 37659-5397 · (423) 282-1990 · Fax (423) 282-1990
Phone(423) 282-0636
Fax(423) 282-1990
Organization SubpartNo
Authorized OfficialAmber F WilkinsonOwner/administrator · (423) 282-0636
Enumeration DateJuly 11, 2006
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1871528976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2685 BOONES CREEK ROAD, Johnson City, TN 37615
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Other Identifiers 1

Medicaid3735590TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Boones Creek Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Boones Creek Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Amber Wilkinson, APN
Nurse Practitioner
NPI 1053535211
2685 BOONES CREEK ROAD SUITE 104
Johnson City, TN 37615
(423) 282-0636
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Smith, NP
Nurse Practitioner
NPI 1962524017
121 BOONE RIDGE DR STE 1004
Johnson City, TN 37615
(423) 794-5988
✔ PECOS✔ Accepts Medicare0.8 mi
Mark Wilkinson, MD
Family Practice
NPI 1588619738
101 MED TECH PKWY SUITE 305
Johnson City, TN 37604
(423) 926-6266
✔ PECOS✔ Accepts Medicare2.6 mi

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

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 Boones Creek Medical PLLC's NPI number?

The NPI number for Boones Creek Medical PLLC is 1871528976. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Boones Creek Medical PLLC located?

Boones Creek Medical PLLC is located at 2685 Boones Creek Road Suite 104, Johnson City, TN 37615. The listed phone number is (423) 282-0636.

What is Boones Creek Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Boones Creek Medical PLLC enrolled in Medicare?

Yes. Boones Creek Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boones Creek Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Boones Creek Medical PLLC, in Family Practice and Nurse Practitioner. 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boones Creek Medical PLLC was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.