Individual provider Active NPI

Melanie Ann McAmis

  • Physician Assistant
  • Johnson City, TN
National Provider Identifier
1154077766
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5503 Issued in TN
Practice address
701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365
Phone
(423) 232-8301
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5503 TN Primary
Surgical Physician Assistant 363AS0400X 5503 TN

Addresses

Primary practice location

701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

444 Clinchfield St Ste 103
Kingsport, TN 37660-3859
Phone (423) 578-1518

Other practice location 2

565 Radio Hill Rd
Marion, VA 24354-6587
Phone (276) 944-6342

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
I20230808003711 TN Practitioner - Physician Assistant 3173985124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

1497 W Elk Ave
Elizabethton, TN 37643-2896

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

408 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4946

444 Clinchfield St
Suite 103
Kingsport, TN 37660-3859
Phone (423) 578-1518

4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5503TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Aug 1, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 1, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

701 Med Tech Pkwy
Ste 300
Johnson City, TN 37604
Phone (423) 232-8301

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

444 Clinchfield St
Ste 103
Kingsport, TN 37660
Phone (423) 548-1518

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

565 Radio Hill Rd
Marion, VA 24354
Phone (276) 782-1194

Organizations & group practices 7

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 7

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1154077766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MED TECH PKWY STE 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042365",
            "telephone_number": "423-232-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Clinchfield St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603859",
            "country_code": "US",
            "telephone_number": "423-578-1518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Radio Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243546587",
            "country_code": "US",
            "telephone_number": "276-944-6342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCAMIS",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5503",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.