Jonesborough Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M30739 Issued in TN

Legal business name

JONESBOROUGH MEDICAL CENTER

Doing business as

Doctor's Care

Practice address

2811 W Market St Ste 1
Johnson City, TN 37604-5127

Phone

(423) 928-2135

Fax

(423) 928-5814

NPI assigned

Mar 22, 2017

Last updated

Mar 22, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

JONESBOROUGH MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Atif Atyia, MDNPI 1588677678

Title

Owner

Phone

(423) 753-6077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctor's Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Jonesborough Medical Center

Locations

Practitioners 4

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.

• Atif A Atyia, MD

  • Emergency Medicine Physician
  • Jonesborough, TN
  • NPI 1588677678

  Internal Medicine

  NPD Authorized official
• Mousa K Naseri, FNP

  • Family Nurse Practitioner
  • Limestone, TN
  • NPI 1043375827
  NPD (past)
• Lamiae Nfissi, NP

  • Family Nurse Practitioner
  • Greeneville, TN
  • NPI 1720854102
  NPD (past)
• Adrianne Gabrielle Valerie Vandiver, APRN

  • Nurse Practitioner
  • Jonesborough, TN
  • NPI 1467165431
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1376074385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E JACKSON BLVD STE 3",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591531",
            "telephone_number": "423-753-6077",
            "fax_number": "423-753-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W MARKET ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045127",
            "telephone_number": "423-928-2135",
            "fax_number": "423-928-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBOROUGH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONESBOROUGH MEDICAL CENTER",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "ATYIA",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-753-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "M30739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3874725",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick K Jones, D.O.
• Phillip Wayne Jones, MD
• Sydney R Jones, FNP-BC
• Sydney Witherspoon Jones
• Warren L Jones, CRNA
• Louis Collier Jordan, MD
• Marissa Jordan, LPC
• Richard M Jordan, MD
• Joseph E. Bieberly, MD
• James Allen Joslyn, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.