Zvjezdana Dekic-Djordjevic, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37669 Issued in TN

Practice address

401 E Main St
Johnson City, TN 37601-4877

Phone

(423) 722-2057

Fax

(423) 542-5109

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Karing Hearts Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Johnson City, TN
  • NPI 1568760544
  NPD (past)
• Medical Care LLC

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1891712782
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1275533259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-722-2057",
            "fax_number": "423-542-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-722-2057",
            "fax_number": "423-542-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKIC-DJORDJEVIC",
        "first_name": "ZVJEZDANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3887978",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Debarge
• Wesley Eric Debord, PTA
• Debra Jo Uncapher
• Claire Decristofaro, MD
• Emma Caroline Deeds, OTD
• Christopher Jordan Dela Houssaye, D.O.
• Emily Dell, M.D.
• Rebecca Annette Delong, LCSW
• Reazyn Demoss, APN
• Marcos D Demoura, CRNA

• Family Medicine Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.