Active NPI
Lauren Nicole Vahlkamp
- Medical Physician Assistant
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5551
- Practice address
- 400 N State of Franklin Rd
Johnson City, TN 37604-6035 - Phone
- (423) 431-6111
- NPI assigned
- Mar 22, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110010685 | VA | |
| Physician Assistant | 363A00000X | 0110010685 | VA | |
| Medical Physician Assistant | 363AM0700X | 5551 | TN | Primary |
| Physician Assistant | 363A00000X | 5551 | TN | |
| Physician Assistant | 363A00000X | 085012338 | IL |
Addresses
Primary practice location
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Mailing address
102 Stonewall Jackson Dr Unit 3
Elizabethton, TN 37643-2987
Phone (217) 440-0618
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other practice location 2
420 N 34th St
Quincy, IL 62301-7431
Phone (217) 214-9626
Other practice location 3
800 S Mohawk Dr
Erwin, TN 37650-2124
Phone (423) 979-6000
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: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1497 W Elk Ave
Elizabethton, TN 37643-2896
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
800 S Mohawk Dr
Suite C
Erwin, TN 37650-2124
Phone (423) 735-4750
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 83.8
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5551 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
Organizations & group practices 6
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.
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1154860146
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1326058272
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1144923897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 STONEWALL JACKSON DR UNIT 3",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432987",
"telephone_number": "217-440-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N STATE OF FRANKLIN RD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046035",
"telephone_number": "423-431-6111"
}
],
"practiceLocations": [
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"fax_number": "217-277-3960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 N 34th St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623017431",
"country_code": "US",
"telephone_number": "217-214-9626",
"fax_number": "217-214-9627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 S Mohawk Dr",
"address_purpose": "LOCATION",
"city": "Erwin",
"state": "TN",
"postal_code": "376502124",
"country_code": "US",
"telephone_number": "423-979-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAHLKAMP",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110010685",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010685",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "5551",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5551",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085012338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
- Timothy Purnell Upchurch, MD
- Upper East TN Regional Juvenile Detention Center
- Rhythm Uprety, MD
- Uridez LLC
- VA Medical Center Mountain Home, TN
- Valley Ridge Emergency Physicians, LLP
- Valley Ridge Emergency Physicians, LLP
- Valley Ridge Emergency Physicians, LLP
- Marc A. Valley, M.D.
- Laura Elizabeth Van Eck, MS, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.