NPIMap

Organization Active NPI

Evidence Based Addiction Medicine

  • Clinic/Center
  • Johnson City, TN
National Provider Identifier
1093169443
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVIDENCE BASED ADDICTION MEDICINE
Doing business as
High Point Clinic
Practice address
205 High Point Dr
Johnson City, TN 37601-1503
Phone
(423) 631-0731
Fax
(423) 631-0732
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mrs. Deanna Lynn Irick, M. ED.
Title
Executive Director
Phone
(423) 631-0731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TN Primary

Addresses

Primary practice location

205 High Point Dr
Johnson City, TN 37601-1503

Mailing address

205 High Point Dr
Johnson City, TN 37601-1503
Phone (423) 631-0731

Other names 1

  • High Point Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

205 High Point Dr
Johnson City, TN 37601
Phone (423) 631-0731

Practitioners & affiliated clinicians

Practitioners 3

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": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1093169443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HIGH POINT DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011503",
            "telephone_number": "423-631-0731",
            "fax_number": "423-631-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HIGH POINT DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011503",
            "telephone_number": "423-631-0731",
            "fax_number": "423-631-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE BASED ADDICTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "IRICK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-631-0731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Point Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2016; 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.