Active NPI
Johnathan Myles Winstead, M.D.
- Otolaryngology Physician
- Johnson City, TN
National Provider Identifier
1124204698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 43054
- Practice address
- 2340 Knob Creek Rd 704
Johnson City, TN 37604-2977 - Phone
- (423) 929-9101
- NPI assigned
- Jan 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 43054 | TN | Primary |
Addresses
Primary practice location
2340 Knob Creek Rd 704
Johnson City, TN 37604-2977
Mailing address
215 E Watauga Ave
Johnson City, TN 37601-4671
Phone (423) 929-9101
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000666 | TN | Practitioner - Otolaryngology | 7416029681 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- East Tennessee State University Quillen College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2340 Knob Creek Rd
Suite 704
Johnson City, TN 37604-2977
Hospital & facility affiliations
- Franklin Woods Community Hospital
- Johnson City Medical Center
- Wellmont Holston Valley Medical Center
- Wellmont Bristol Regional Medical Center
- Sycamore Shoals Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.89 of 100
- Quality
- 62.92
- Improvement activities
- 40
- Cost
- 79.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- johnathanwinstead@entatn.allscriptsdirect.net
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1124204698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014671",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 KNOB CREEK RD 704",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042977",
"telephone_number": "423-929-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSTEAD",
"first_name": "JOHNATHAN",
"middle_name": "MYLES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-15",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "43054",
"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 Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.