Active NPI
John Mitchell Farmer Jr., MD
- Family Medicine Physician
- Shepherdsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52891
- Practice address
- 1903 W Hebron LN
Shepherdsville, KY 40165-7425 - Phone
- (502) 367-3360
- NPI assigned
- Jun 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 62819 | TN | |
| Family Medicine Physician | 207Q00000X | 52891 | KY | Primary |
Addresses
Primary practice location
1903 W Hebron LN
Shepherdsville, KY 40165-7425
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 367-3360
Other practice location 1
301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone (423) 794-5520
Other practice location 2
444 Clinchfield St Ste 201
Kingsport, TN 37660-3863
Phone (423) 230-2100
Other practice location 3
1102 S Virginia St
Hopkinsville, KY 42240-3579
Phone (270) 632-6741
Other practice location 4
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100566160 | Medicaid | KY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Hospital & facility affiliations
- Ballad Health Hospice
- Wellmont Holston Valley Medical Center
- Johnson City Medical Center
- Franklin Woods Community Hospital
- Sycamore Shoals Hospital
- Indian Path Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62819 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239
301 Med Tech Pkwy
Ste 240
Johnson City, TN 37604
Phone (423) 794-5520
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
Multi-Specialty
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Inpatient Hospice
- Bristol, TN
- NPI 1033605886
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1174052765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-367-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 W HEBRON LN",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401657425",
"telephone_number": "502-367-3360"
}
],
"practiceLocations": [
{
"address_1": "301 Med Tech Pkwy Ste 240",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042641",
"country_code": "US",
"telephone_number": "423-794-5520",
"fax_number": "423-282-6940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "444 Clinchfield St Ste 201",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603863",
"country_code": "US",
"telephone_number": "423-230-2100",
"fax_number": "423-230-2112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 S Virginia St",
"address_purpose": "LOCATION",
"city": "Hopkinsville",
"state": "KY",
"postal_code": "422403579",
"country_code": "US",
"telephone_number": "270-632-6741",
"fax_number": "270-632-6742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Clinic Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424311661",
"country_code": "US",
"telephone_number": "270-825-7200",
"fax_number": "270-825-7266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARMER",
"first_name": "JOHN",
"middle_name": "MITCHELL",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "62819",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "52891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100566160",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.