Active NPI
Christine R Colon, MD
- Family Medicine Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64316
- Practice address
- 917 W Walnut St
Johnson City, TN 37604-6527 - Phone
- (423) 439-4683
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101273394 | VA | |
| Family Medicine Physician | 207Q00000X | 64316 | TN | Primary |
Addresses
Primary practice location
917 W Walnut St
Johnson City, TN 37604-6527
Mailing address
PO Box 70621
Johnson City, TN 37614-1709
Phone (423) 439-4683
Other names 1
- Dr. Christine Rachelle Colon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220208000836 | TN | Practitioner - Family Practice | 2769734243 | Reassigns benefits to 1 organization |
| I20220329000117 | VA | Practitioner - Family Practice | 2769734243 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Virginia Regional Emergency Physicians LLC
Practice addresses (Care Compare)
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
Hospital & facility affiliations
- Lonesome Pine Hospital
- Dickenson Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.12 of 100
- Quality
- 64.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101273394 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Current | Accepting new patients | |
| Western Virginia Regional Emergency Physicians, LLC | Current | Accepting new patients |
Locations
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
127 Health Care Dr
Pennington Gap, VA 24277
Phone (276) 299-5000
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
VA
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
TN
Hospital & facility affiliations 2
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": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1124516018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70621",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141709",
"telephone_number": "423-439-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 W WALNUT ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046527",
"telephone_number": "423-439-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "CHRISTINE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101273394",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "64316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "COLON",
"middle_name": "RACHELLE",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Mar 22, 2022; 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.