Active NPI
John Ryan Galyon
- Clinical Social Worker
- Johnson City, TN
National Provider Identifier
1275277394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014383
- Practice address
- Building #160 Lamont St. and Veterans Way
Johnson City, TN 37604 - Phone
- (423) 926-1171
- NPI assigned
- Apr 25, 2022
- Last updated
- Sep 23, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C014383 | NC | Primary |
Addresses
Primary practice location
Building #160 Lamont St. and Veterans Way
Johnson City, TN 37604
Mailing address
PO Box 4000
Mountain Home, TN 37684-4000
Phone (423) 926-1171
Other practice location 1
2908 Royal Mile Dv
Kingsport, TN 37664-5831
Phone (423) 926-1171 ext. 7427
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C014383 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- johngalyon@tdh.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1275277394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4000",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376844000",
"telephone_number": "423-926-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING #160 LAMONT ST. AND VETERANS WAY",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [
{
"address_1": "2908 Royal Mile Dv",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376645831",
"country_code": "US",
"telephone_number": "423-926-1171 x7427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALYON",
"first_name": "JOHN",
"middle_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-25",
"last_updated": "2022-09-23",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014383",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.