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Organization Active NPI

Appalachian Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Johnson City, TN
National Provider Identifier
1336175462
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Doing business as
Appalachian Orthopaedic Associates P C
Practice address
3 Professional Park Dr
Ste 21
Johnson City, TN 37604-6529
Phone
(423) 979-3333
Fax
(423) 926-6713
NPI assigned
Jun 23, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Mr. Daryn Keeney
Title
Coo
Phone
(423) 239-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

3 Professional Park Dr
Ste 21
Johnson City, TN 37604-6529

Mailing address

3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529
Phone (423) 979-3333

Other practice location 1

4221 Fort Henry Dr.
Ste 1
Kingsport, TN 37663
Phone (423) 239-1550

Other practice location 2

260 Midway Medical Park
Ste 100
Bristol, TN 37620
Phone (423) 968-4446

Other practice location 3

1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 844-6450

Other practice location 4

1500 W Elk Ave
Ste 102
Elizabethton, TN 37643-2655
Phone (423) 431-0405

Other identifiers 2

IdentifierTypeStateIssuer
3710613MedicaidTN
CD1842OtherTNMEDICARE RAILROAD

Other names 1

  • APPALACHIAN ORTHOPAEDIC ASSOCIATES P C Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000433 TN Part B Supplier - Clinic/Group Practice 1052225471 Receives reassigned benefits from 49 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bristol, TN; Elizabethton, TN; Johnson City, TN; Kingsport, TN

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1336175462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR",
            "address_2": "SUITE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-979-3333",
            "fax_number": "423-926-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR",
            "address_2": "STE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-979-3333",
            "fax_number": "423-926-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Fort Henry Dr.",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37663",
            "country_code": "US",
            "telephone_number": "423-239-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Midway Medical Park",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "37620",
            "country_code": "US",
            "telephone_number": "423-968-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_2": "Ste 300E",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "37620",
            "country_code": "US",
            "telephone_number": "423-844-6450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Elk Ave",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432655",
            "country_code": "US",
            "telephone_number": "423-431-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "DARYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-239-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710613",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD1842",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES P C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.