Leah Alexandra Surbaugh, PHARMD

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

46301 Issued in TN

Practice address

325 N State of Franklin Rd
Johnson City, TN 37604-6056

Phone

(423) 439-7280

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480
  NPD (past)
• Medical Education Assistance Corporation

  • Internal Medicine Physician
  • Kingsport, TN
  • NPI 1245509280
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1013748003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70657",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376141701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046056",
            "telephone_number": "423-439-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sheridan Sq Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607435",
            "country_code": "US",
            "telephone_number": "423-246-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURBAUGH",
        "first_name": "LEAH",
        "middle_name": "ALEXANDRA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "TN",
            "license": "46301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kera Maria Sumner, PHARMD
• Ashley Blake Sundin
• Sunny Path Counseling, PLLC
• Sunrise Medical Associates Inc.
• Sunset Eye Care PC
• Gary Surber, PHARM.D.
• Surgical Group of Johnson City, MPC
• Surgical Services of East Tennessee PC
• Brandy Ann Asher Sutherland
• Michael Eugene Sutherland Jr., D.O.

• Psychiatric Pharmacist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Psychiatric Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.