Active NPI
Kelly P Gunter, M.D.
- Diagnostic Radiology Physician
- Johnson City, TN
National Provider Identifier
1255380481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 19968
- Practice address
- 1301 Sunset Dr
Ste 3
Johnson City, TN 37604-7906 - Phone
- (423) 926-4966
- Fax
- (423) 926-1823
- NPI assigned
- May 6, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19968 | TN | Primary |
Addresses
Primary practice location
1301 Sunset Dr
Ste 3
Johnson City, TN 37604-7906
Mailing address
1301 Sunset Dr
Ste 3
Johnson City, TN 37604-7906
Phone (423) 926-4966
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3855812 | Medicaid | TN | |
| 64025919 | Other | KY | KENTUCKY MEDICAID |
| 7207956 | Other | VA | VIRGINIA MEDICAID |
| 3151473 | Other | TN | BCBS |
| 89063PF | Other | NC | NORTH CAROLINA MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19968 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Radiology Services, PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Hattiesburg, MS
- NPI 1992731590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255380481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SUNSET DR",
"address_2": "STE 3",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376047906",
"telephone_number": "423-926-4966",
"fax_number": "423-926-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SUNSET DR",
"address_2": "STE 3",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376047906",
"telephone_number": "423-926-4966",
"fax_number": "423-926-1823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "KELLY",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "19968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3855812",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAID",
"identifier": "64025919",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA MEDICAID",
"identifier": "7207956",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3151473",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAID",
"identifier": "89063PF",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.