1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Physician Assistant
  6. NPI Profile

CHARLES DAVID ANDERSON PA-C
NPI 1992775282
Physician Assistant in Johnson City, TN

Active since January 26, 2006
3 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604(423) 434-6300(423) 434-6312 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles David Anderson Pa-c NPPES

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

CHARLES DAVID ANDERSON PA-C (NPI 1992775282) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (147) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1992775282
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES DAVID ANDERSONCredential: PA-C
Location Address3 PROFESSIONAL PARK DR, SUITE 21Johnson City, TN 37604-6529
Mailing Address3 Professional Park Dr, Suite 21Johnson City, TN 37604-6529 · (423) 434-6300 · Fax (423) 434-6312
Phone(423) 434-6300
Fax(423) 434-6312
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMarch 26, 2008
✔ NPI 1992775282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 147
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.
3 PROFESSIONAL PARK DR, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 4

Medicaid3665019TN
Medicare UPINR08835TN
Medicare PIN3665019TN
Medicare PIN970015148TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

JOHN LAWSON SURGICAL GROUP
Nurse Practitioner (Family)
3 PROFESSIONAL PARK DR, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 975-5650
JAMES B HAIRE PA-C
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. THOMAS L HUDDLESTON M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JOHN L HOLBROOK M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
LEWIS GORDON PORTER IV PA-C
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
WILLIAM STACY MELVIN P.A.
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JAMES A GOSS M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 979-3333

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 Charles Anderson's NPI number?

The NPI number for Charles Anderson is 1992775282. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Charles Anderson located?

Charles Anderson practices at 3 Professional Park Dr Suite 21, Johnson City, TN 37604. The listed phone number is (423) 434-6300.

What is Charles Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Charles Anderson accept?

Health plans from UnitedHealthcare list Charles Anderson 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 Charles Anderson was last updated on March 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.