Individual provider Active NPI

Frank Randall Dunn

  • Clinical Social Worker
  • Johnson City, TN
National Provider Identifier
1336829167
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8950 Issued in TN
Practice address
3114 Browns Mill Rd
Johnson City, TN 37604-1417
Phone
(423) 631-0432
Fax
(423) 631-0284
NPI assigned
Jul 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8950 TN Primary

Addresses

Primary practice location

3114 Browns Mill Rd
Johnson City, TN 37604-1417

Mailing address

3114 Browns Mill Rd
Johnson City, TN 37604-1417
Phone (423) 631-0432

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206003265 TN Practitioner - Clinical Social Worker 3476089988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Revida Recovery Centers PCGroup PAC ID 1153657473, 28 clinicians

Practice addresses (Care Compare)

3114 Browns Mill Rd
Johnson City, TN 37604-1417
Phone (423) 631-0432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Centers of Tennessee, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Revida Recovery Centers, PC CurrentSince Oct 1, 2024 Accepting new patients
Crossroads Treatment Centers of Tennessee, PC CurrentSince Mar 1, 2026 Accepting new patients

Locations

4140 Thornton Taylor Pkwy
Ste D
Fayetteville, TN 37334
Phone (931) 434-8109

712 Professional Plaza Dr
Greeneville, TN 37745
Phone (423) 820-0432

5870 Highway 153
Ste 122
Hixson, TN 37343
Phone (423) 243-3342

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

114 Perkins Ln
Jacksboro, TN 37757
Phone (864) 436-7266

3114 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-5611

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

2001 Highland Ave
Knoxville, TN 37916
Phone (865) 633-0353

230 Bowman St
Morristown, TN 37813
Phone (423) 586-1356

3322 West End Ave
Ste 350
Nashville, TN 37203

330 Heritage Blvd
Newport, TN 37821
Phone (423) 623-7043

106 Administration Rd
Ste 3
Oak Ridge, TN 37830
Phone (865) 276-6212

161 Mose Dr
Sparta, TN 38583
Phone (931) 222-0139

127 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 841-3311

Organizations & group practices 3

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1336829167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041417",
            "telephone_number": "423-631-0432",
            "fax_number": "423-631-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041417",
            "telephone_number": "423-631-0432",
            "fax_number": "423-631-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "FRANK",
        "middle_name": "RANDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.