Individual provider Active NPI

Daniel Brooks Drinnen, M.D.

  • Surgery Physician
  • Johnson City, TN
National Provider Identifier
1184660482
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD27099 Issued in TN
Practice address
300 E Main St Ste 301
Johnson City, TN 37601-5708
Phone
(423) 979-0000
Fax
(423) 979-6333
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD27099 TN Primary

Addresses

Primary practice location

300 E Main St Ste 301
Johnson City, TN 37601-5708

Mailing address

300 E Main St Ste 301
Johnson City, TN 37601-5708
Phone (423) 979-0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000702 TN Practitioner - General Surgery 4789662933 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27099TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Surgery CurrentSince Oct 1, 2014 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates Inc Surgery CurrentSince Jul 1, 2012 Accepting new patients
Covenant Medical Group, Inc CurrentSince Oct 1, 2014 Accepting new patients
University Health System Inc Past Accepting new patients
Integrated Health Transitions, PLLC Past Accepting new patients

Locations

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

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

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

1633 W Morris Blvd
Morristown, TN 37813
Phone (423) 492-6700

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1184660482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015708",
            "telephone_number": "423-979-0000",
            "fax_number": "423-979-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015708",
            "telephone_number": "423-979-0000",
            "fax_number": "423-979-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRINNEN",
        "first_name": "DANIEL",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD27099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.