Individual provider Active NPI

Elizabeth Ann Honeycutt-Martin

  • Ambulatory Care Registered Nurse
  • Johnson City, TN
National Provider Identifier
1346993482
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
0000030374 Issued in TN
Practice address
307 Harbor Approach
Johnson City, TN 37601-3147
Phone
(423) 426-6296
NPI assigned
Jan 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP2201X 0000030374 TN Primary

Addresses

Primary practice location

307 Harbor Approach
Johnson City, TN 37601-3147

Mailing address

307 Harbor Approach
Johnson City, TN 37601-3147
Phone (423) 426-6296

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002250 TN Practitioner - Nurse Practitioner 6002292992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

6419 Bristol Hwy
Piney Flats, TN 37686-5208
Phone (423) 538-5202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000030374TNMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Community Healthcare, PLLC Multi-Specialty CurrentSince May 20, 2023 Accepting new patients
Southeastern Physician Services PC Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates, Inc. Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Wellmont Medical Associates Inc Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty Past Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

6419 Bristol Hwy
Piney Flats, TN 37686
Phone (423) 391-1130

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: ehoneycuttmartin272300@balladhealth.medalliesdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1346993482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HARBOR APPROACH",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013147",
            "telephone_number": "423-426-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HARBOR APPROACH",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013147",
            "telephone_number": "423-426-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEYCUTT-MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "TN",
            "license": "0000030374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.