Individual provider Active NPI

Susan C Zwiebel, MD

  • Occupational Medicine Physician
  • Johnson City, TN
National Provider Identifier
1366411621
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
74690 Issued in TN
Practice address
200 Med Tech Pkwy Ste 108
Johnson City, TN 37604-2278
Phone
(423) 915-5033
Fax
(423) 952-3777
NPI assigned
Mar 17, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.085901 OH
Occupational Medicine Physician 2083X0100X 74690 TN Primary
Family Medicine Physician 207Q00000X 74690 TN
Occupational Medicine Physician 2083X0100X 35085901 OH
Occupational Medicine Physician 2083X0100X 35.085901 OH
Family Medicine Physician 207Q00000X 35-085901 OH
Family Medicine Physician 207Q00000X 0101285799 VA
Occupational Medicine Physician 2083X0100X 0101285799 VA

Addresses

Primary practice location

200 Med Tech Pkwy Ste 108
Johnson City, TN 37604-2278

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

24530 Falcon Place Blvd Ste 200
Abingdon, VA 24211-7665
Phone (276) 628-1654

Other practice location 2

1865 Tamarack Rd
Newark, OH 43055-2305
Phone (220) 564-4991

Other practice location 3

1865 Tamarack Rd
Newark, OH 43055-2305
Phone (220) 564-4991

Other practice location 4

1865 Tamarack Rd
Newark, OH 43055
Phone (220) 564-4972

Other practice location 5

1490 Park Ave NW Ste 5
Norton, VA 24273-1631
Phone (276) 439-1440

Other practice location 6

403 Princeton Rd Ste 3
Johnson City, TN 37601-2040
Phone (423) 928-0113

Other practice location 7

111 W Stone Dr Ste 120
Kingsport, TN 37660-6027
Phone (423) 224-5126

Other practice location 8

1230 Volunteer Pkwy
Bristol, TN 37620-4628
Phone (423) 844-3360

Other practice location 9

438 E Vann Rd Ste 301
Greeneville, TN 37743-7202
Phone (423) 636-9828

Other identifiers 1

IdentifierTypeStateIssuer
2557773MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address szwiebel14447@lickingmemorial.medicity.net Other LICKING MEMORIAL PROFESSIONAL CORPORATION
Direct Messaging Address szwiebel14447@lickingmemorial.medicity.net Other LICKING MEMORIAL PROFESSIONAL CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050519000927 OH Practitioner - Preventive MedicinePractitioner - Family Practice 1153362157 Reassigns benefits to 1 organization
I20250710002758 TN Practitioner - Preventive Medicine 1153362157 Reassigns benefits to 2 organizations
I20250725000231 VA Practitioner - Preventive Medicine 1153362157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, shared by 2 NPIs, 283 clinicians

Practice addresses (Care Compare)

200 Med Tech Pkwy
Suite 108
Johnson City, TN 37604-2278
Phone (423) 915-5033

24530 Falcon Place Blvd
Suite 200
Abingdon, VA 24211-7665
Phone (276) 628-1654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.085901OHMDEmergency Medicine Physician
35-085901OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Aultman Hospital CurrentSince Mar 6, 2013 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Mar 6, 2013 Accepting new patients
Wellmont Health System Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2025 Accepting new patients
Wellmont Medical Associates Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Norton Community Physician Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Norton Community Physician Services LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Mount Carmel Health Providers III LLC Emergency Medicine Past Accepting new patients
The Union Hospital Association Past Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
Genesis Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

1230 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 764-2566

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

438 E Vann Rd
Ste 301
Greeneville, TN 37743
Phone (423) 278-1650

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

200 Med Tech Pkwy
Ste 108
Johnson City, TN 37604
Phone (423) 915-5033

403 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 202-3622

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

111 W Stone Dr
Ste 120
Kingsport, TN 37660
Phone (423) 224-5126

24530 Falcon Place Blvd
Ste 200
Abingdon, VA 24211
Phone (276) 619-4609

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

1490 Park Ave NW
Ste 5
Norton, VA 24273
Phone (276) 439-1440

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

Interoperability endpoints

  • Direct secure messaging: szwiebel526979@balladhealth.medalliesdirect.net

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1366411621",
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            "address_purpose": "MAILING",
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            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED TECH PKWY STE 108",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042278",
            "telephone_number": "423-915-5033",
            "fax_number": "423-952-3777"
        }
    ],
    "practiceLocations": [
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            "address_1": "24530 Falcon Place Blvd Ste 200",
            "address_purpose": "LOCATION",
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            "postal_code": "242117665",
            "country_code": "US",
            "telephone_number": "276-628-1654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Tamarack Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430552305",
            "country_code": "US",
            "telephone_number": "220-564-4991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Tamarack Rd",
            "address_purpose": "LOCATION",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Tamarack Rd",
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            "country_code": "US",
            "telephone_number": "220-564-4972",
            "fax_number": "220-564-4991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 Park Ave NW Ste 5",
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            "postal_code": "242731631",
            "country_code": "US",
            "telephone_number": "276-439-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Princeton Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376012040",
            "country_code": "US",
            "telephone_number": "423-928-0113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Stone Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-224-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Volunteer Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376204628",
            "country_code": "US",
            "telephone_number": "423-844-3360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 E Vann Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-636-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWIEBEL",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.085901",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "74690",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "74690",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35085901",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35.085901",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-085901",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101285799",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101285799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2557773",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szwiebel14447@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "1865 Tamarack Rd",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430552305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szwiebel14447@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "1865 Tamarack Rd",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430552305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.