Organization Active NPI

Direct Mental Wellness PLLC

  • Addiction Psychiatry Physician
  • Johnson City, TN
National Provider Identifier
1023973195
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
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

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
John Buabbud, MDNPI 1336594761
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)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.