Individual provider Active NPI

Emmalea Elizabeth Johnston, NP-C

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1073891701
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015811 Issued in TN
Practice address
2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone
(423) 434-6677
Fax
(423) 461-0000
NPI assigned
Jul 29, 2011
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000015811 TN Primary

Addresses

Primary practice location

2408 Susannah St Ste 1
Johnson City, TN 37601-1765

Mailing address

2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone (423) 434-6677

Other names 1

  • Emmalea Elizabeth Griffith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110812000514 TN Practitioner - Nurse Practitioner 1759550478 Reassigns benefits to 2 organizations
Practice locations: Blountville, TN; Johnson City, TN
I20250227000594 VA Practitioner - Nurse Practitioner 1759550478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
East Tennessee Recovery PLLCGroup PAC ID 9436434909, 19 clinicians

Practice addresses (Care Compare)

1662 Bonham Rd
Bristol, VA 24201-2090
Phone (276) 644-9899

2408 Susannah St
Suite 1
Johnson City, TN 37601-1765
Phone (423) 434-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15811TNMDAnesthesiology Physician
APN0000015811TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Recovery, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Medical Education Assistance Corporation CurrentSince Aug 1, 2011 Accepting new patients
Applegate Health Services, Inc CurrentSince Dec 12, 2024 Accepting new patients

Locations

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

2408 Susannah St
Ste 1
Johnson City, TN 37601
Phone (423) 282-5054

1662 Bonham Rd
Bristol, VA 24201
Phone (276) 644-9899

19380 US Highway 58
Castlewood, VA 24224
Phone (276) 762-2172

2011 2nd St
Richlands, VA 24641
Phone (276) 345-9900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16897/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1073891701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011765",
            "telephone_number": "423-434-6677",
            "fax_number": "423-461-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011765",
            "telephone_number": "423-434-6677",
            "fax_number": "423-461-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "EMMALEA",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMALEA",
            "last_name": "GRIFFITH",
            "middle_name": "ELIZABETH",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.