Active NPI
Direct Mental Wellness PLLC
- Addiction Psychiatry Physician
- Johnson City, TN
National Provider Identifier
1023973195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- DIRECT MENTAL WELLNESS PLLC
- Practice address
- 404 S Roan St
Johnson City, TN 37601-5728 - Phone
- (540) 755-0098
- NPI assigned
- Dec 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Buabbud, MD
- Title
- Owner
- Phone
- (540) 755-0098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
Primary practice location
404 S Roan St
Johnson City, TN 37601-5728
Mailing address
121 Boone St Unit 141
Jonesborough, TN 37659-8006
Phone (540) 755-0098
National Provider Directory
National Provider DirectoryLocations
121 Boone St
Unit 141
Jonesborough, TN 37659
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Roanoke, VA
- NPI 1336594761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1023973195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 BOONE ST UNIT 141",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376598006",
"telephone_number": "540-755-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S ROAN ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376015728",
"telephone_number": "540-755-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT MENTAL WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-19",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "BUABBUD",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-755-0098",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.