Active NPI
Rebecca Sacora, M.D.
- Family Medicine Physician
- Erwin, TN
National Provider Identifier
1386021517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 58311
- Practice address
- 2030 Temple Hill Rd Ste B
Erwin, TN 37650-8721 - Phone
- (423) 735-4080
- Fax
- (423) 735-4085
- NPI assigned
- Apr 27, 2015
- Last updated
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 58311 | TN | Primary |
Addresses
Primary practice location
2030 Temple Hill Rd Ste B
Erwin, TN 37650-8721
Mailing address
509 Med Tech Pkwy Ste 100
Johnson City, TN 37604-2579
Phone (423) 302-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58311 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1386021517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MED TECH PKWY STE 100",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042579",
"telephone_number": "423-302-6565",
"fax_number": "423-952-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 TEMPLE HILL RD STE B",
"city": "ERWIN",
"state": "TN",
"postal_code": "376508721",
"telephone_number": "423-735-4080",
"fax_number": "423-735-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACORA",
"first_name": "REBECCA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "58311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, TN
- Roller Pharmacy Inc (Roller Pharmacy)
- Kendra Nicole Roller, PHARM.D.
- Terry L Roller, D.PH.
- Christa Rosier, CCC, SLP
- Rural Health Services Consortium of Upper East Tennessee Inc (Dry Creek Medical Center)
- Marc Winter Schlemmer, RPH
- Jacqui Renee Schollenberger, LCSW
- Wanda S Shelton, FNP
- Charlotte Freeman Shores, BSW
- Candace Simerly, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.