Active NPI
Highlands Vasectomy Clinic
- Surgery Physician
- Bristol, TN
National Provider Identifier
1093561748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HIGHLANDS VASECTOMY CLINIC
- Practice address
- 981 Volunteer Pkwy Ste B
Bristol, TN 37620-4284 - Phone
- (423) 573-8100
- Fax
- (423) 844-6626
- NPI assigned
- Apr 24, 2024
- 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
- Jessica N. McCracken, DO
- Title
- Physician
- Phone
- (423) 797-1648
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
981 Volunteer Pkwy Ste B
Bristol, TN 37620-4284
Mailing address
981 Volunteer Pkwy Ste B
Bristol, TN 37620-4284
Phone (423) 573-8100
National Provider Directory
National Provider DirectoryPractitioners & 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": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1093561748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 VOLUNTEER PKWY STE B",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204284",
"telephone_number": "423-573-8100",
"fax_number": "423-844-6626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 VOLUNTEER PKWY STE B",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204284",
"telephone_number": "423-573-8100",
"fax_number": "423-844-6626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS VASECTOMY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "MCCRACKEN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "423-797-1648",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
- Highlands Mindcare, PLLC
- Highlands Neurosurgical Associates, PC
- Highlands Pathology Consultants, P.C.
- Highlands Podiatry PLC
- Highlands Urology
- Kara Marie Hill, FNP
- Sabrina A Hill, MSN, APRN, AGPCNP-BC
- Richard Andrew Hillesheim, M.D.
- Mark Christopher Hinkle, REGISTERED NURSE
- Peggy Johnson-Suttle Hiwale, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.