Individual provider Active NPI

Lee A Colyar, M.D.

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1386626166
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0000028048 Issued in TN
Practice address
303 Med Tech Pkwy
Suite 150
Johnson City, TN 37604
Phone
(423) 282-8070
Fax
(423) 282-8550
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLC 258 clinicians

Practice addresses (Care Compare)

313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions19
Removal or shaving of skin growth1-10
Skin biopsy1-10

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000327 TN Practitioner - Family Practice 3375503626 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000028048TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Education Assistance Corporation Family Medicine CurrentSince Jun 15, 2008 Accepting new patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Johnson City Emergency Physicians, PC Past Accepting new patients
State of Franklin Healthcare Associates PLLC PastSince Aug 18, 2019 Accepting new patients
Boiling Spring Lakes Family Medicine, PC Family Medicine Past Accepting new patients

Locations

5 Worth Cir
Ste 4
Johnson City, TN 37601
Phone (423) 282-4819

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

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

917 W Walnut St
Johnson City, TN 37604
Phone (423) 439-6464

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604
Phone (423) 282-8070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16348/brand/1/csg/1/fhir/r4
  • Direct secure messaging: allancolyar@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0000028048 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

303 Med Tech Pkwy
Suite 150
Johnson City, TN 37604

Mailing address

PO Box 3889
Johnson City, TN 37602-3889
Phone (423) 282-8070

Other practice location 1

917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 439-6464

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1511705MedicaidTN
3122080OtherTNBLUE CROSS BLUE SHIELD
5547654OtherTNAETNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2024.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1386626166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3889",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023889",
            "telephone_number": "423-282-8070",
            "fax_number": "423-282-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MED TECH PKWY",
            "address_2": "SUITE 150",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-282-8070",
            "fax_number": "423-282-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046527",
            "country_code": "US",
            "telephone_number": "423-439-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLYAR",
        "first_name": "LEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000028048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511705",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3122080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5547654",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.