NPIMap

Organization Active NPI

Foundation Health Services, PLLC

Doing business as Foundation Health

  • Urgent Care Clinic/Center
  • Johnson City, TN
National Provider Identifier
1376922278
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FOUNDATION HEALTH SERVICES, PLLC
Doing business as
Foundation Health
Foundation Health Urgent Care
Practice address
5583 Bobby Hicks Hwy Ste 205
Johnson City, TN 37615-3283
Phone
(423) 707-2509
Fax
(423) 430-6002
NPI assigned
May 26, 2015
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Dr. Jonathan Madill, D.C.NPI 1467841999
Title
Owner
Phone
(770) 572-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Chiropractor 111N00000X NU

Addresses

Primary practice location

5583 Bobby Hicks Hwy Ste 205
Johnson City, TN 37615-3283

Mailing address

5583 Bobby Hicks Hwy Ste 205
Johnson City, TN 37615-3283
Phone (423) 707-2509

Other names 3

  • Foundation Health Doing business as
  • Foundation Health Urgent Care Doing business as
  • Madill Enterprises, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160922000978 TN Part B Supplier - Clinic/Group Practice 6709173529 Receives reassigned benefits from 9 practitioners
Practice locations: Johnson City, TN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2241929Foundation Health Urgent Care Clinic5583 Bobby Hicks Hwy, Suite 205, Gray, TN 37615Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

1041 Hamilton Pl
Johnson City, TN 37604
Phone (423) 707-2509

5583 Bobby Hicks Hwy
Ste 205
Johnson City, TN 37615
Phone (423) 707-2509

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1376922278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5583 BOBBY HICKS HWY STE 205",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153283",
            "telephone_number": "423-707-2509",
            "fax_number": "423-430-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5583 BOBBY HICKS HWY STE 205",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153283",
            "telephone_number": "423-707-2509",
            "fax_number": "423-430-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "MADILL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-572-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundation Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madill Enterprises, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.