NPIMap

Individual provider Active NPI

Elizabeth G Humston, DO

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1154581445
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2273 Issued in TN
Practice address
303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604-2391
Phone
(423) 282-8070
Fax
(423) 794-1826
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2273 TN Primary

Addresses

Primary practice location

303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604-2391

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 282-8070

Other identifiers 1

IdentifierTypeStateIssuer
1525142MedicaidTN

Other names 1

  • Dr. Elizabeth Gordon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000406 TN Practitioner - Family Practice 3476723792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

303 Med Tech Pkwy
Johnson City, TN 37604-2391
Phone (423) 282-8070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Medical Education Assistance Corporation Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jan 15, 2023 Accepting new patients
Medical Specialists of Johnson City PastSince Aug 1, 2011 Accepting new patients
Boiling Spring Lakes Family Medicine, PC Family Medicine PastSince Jan 1, 2023 Accepting new patients

Locations

303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604
Phone (423) 282-8070

5 Worth Cir
Ste 4
Johnson City, TN 37601
Phone (423) 282-4819

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

303 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 282-5611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16348/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabethhumston@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 4

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1154581445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-282-8070",
            "fax_number": "423-794-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MED TECH PKWY",
            "address_2": "STE 150",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042391",
            "telephone_number": "423-282-8070",
            "fax_number": "423-794-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMSTON",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525142",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GORDON",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.