Individual provider Active NPI

Emily Susong, PA-C

  • Medical Physician Assistant
  • Greeneville, TN
National Provider Identifier
1164297271
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5738 Issued in TN
Practice address
438 E Vann Rd Ste 201
Greeneville, TN 37743-7202
Phone
(423) 278-1800
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5738 TN Primary

Addresses

Primary practice location

438 E Vann Rd Ste 201
Greeneville, TN 37743-7202

Mailing address

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

Other practice location 1

6232 W Andrew Johnson Hwy Ste 1400
Talbott, TN 37877-8604
Phone (423) 714-4070

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
I20240102000892 TN Practitioner - Physician Assistant 4587014600 Reassigns benefits to 3 organizations

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
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians
Takoma Regional Hospital IncGroup PAC ID 8729189295, 28 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

438 E Vann Rd
Suite 201
Greeneville, TN 37743-7202
Phone (423) 278-1800

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Takoma Regional Hospital, Inc CurrentSince Feb 1, 2026 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Healthstar Physicians PC CurrentSince Jan 2, 2024 Accepting new patients
Takoma Regional Hospital Inc CurrentSince Feb 1, 2026 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Feb 1, 2026 Accepting new patients
Healthstar Physicians, P.C. CurrentSince Jan 2, 2024 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

438 E Vann Rd
Ste 201
Greeneville, TN 37743
Phone (423) 278-1800

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

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

420 W Morris Blvd
Ste 400B
Morristown, TN 37813
Phone (423) 254-0547

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

6232 W Andrew Johnson Hwy
Ste 1400
Talbott, TN 37877
Phone (423) 714-4070

Interoperability endpoints

  • Direct secure messaging: emily.susong.1@3525.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1164297271",
    "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": "438 E VANN RD STE 201",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-278-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6232 W Andrew Johnson Hwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Talbott",
            "state": "TN",
            "postal_code": "378778604",
            "country_code": "US",
            "telephone_number": "423-714-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSONG",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.