Individual provider Active NPI

Joseph C Nanney, PA

  • Physician Assistant
  • Johnson City, TN
National Provider Identifier
1093729709
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA979 Issued in TN
Practice address
101 Med Tech Pkwy
Suite 305
Johnson City, TN 37604-4007
Phone
(423) 926-6266
Fax
(423) 926-7599
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA979 TN Primary

Addresses

Primary practice location

101 Med Tech Pkwy
Suite 305
Johnson City, TN 37604-4007

Mailing address

PO Box 5576
Johnson City, TN 37602-5576
Phone (423) 926-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000181 TN Practitioner - Physician Assistant 1456259001 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Center for Orthopaedic Excellence PLLCGroup PAC ID 3870713910, 7 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

2263 Sandstone Dr
Morristown, TN 37814-2593
Phone (423) 353-1070

3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454

Hospital & facility affiliations

  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA979TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Orthopaedics PLC Physician Assistant CurrentSince Jun 15, 2022 Accepting new patients
Appalachian Emergency Physicians CurrentSince Jan 1, 2011 Accepting new patients
Watauga Orthopaedics, PLC Physician Assistant CurrentSince Jun 15, 2022 Accepting new patients
A&W Emg Muscle & Nerve PLLC PastSince Mar 15, 2022 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Physician Assistant Past Accepting new patients

Locations

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26086/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1093729709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5576",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025576",
            "telephone_number": "423-926-6266",
            "fax_number": "423-926-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 305",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-926-6266",
            "fax_number": "423-926-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNEY",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.