Individual provider Active NPI

Diana Katherine Ramirez, PA-C

  • Physician Assistant
  • Johnson City, TN
National Provider Identifier
1215500087
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4629 Issued in TN
Practice address
1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194
Phone
(423) 528-8833
Fax
(423) 546-7499
NPI assigned
Jul 20, 2021
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4629 TN Primary

Addresses

Primary practice location

1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194

Mailing address

1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194
Phone (423) 528-8833

Other practice location 1

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-6431

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
I20211028000346 TN Practitioner - Physician Assistant 7012305824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Skinwise PLLCGroup PAC ID 6709367048, 2 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8200

1627 Old Gray Station Rd
Suite 30
Johnson City, TN 37615-4194
Phone (423) 528-8833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4629TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Outreach Clinics Unlimited PLLC CurrentSince Jan 10, 2026 Accepting new patients
Skinwise PLLC CurrentSince Jan 10, 2026 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients

Locations

1627 Old Gray Station Rd
Ste 30
Johnson City, TN 37615
Phone (423) 282-3376

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 323-6900

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

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

Interoperability endpoints

  • Direct secure messaging: dramirez213041@balladhealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1215500087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 OLD GRAY STATION RD STE 30",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154194",
            "telephone_number": "423-528-8833",
            "fax_number": "423-546-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 OLD GRAY STATION RD STE 30",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154194",
            "telephone_number": "423-528-8833",
            "fax_number": "423-546-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "DIANA",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.