Active NPI
Joseph Mirkovich
- Student in an Organized Health Care Education/Training Program
- Johnson City, TN
National Provider Identifier
1407752405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- PO Box 70414
Johnson City, TN 37614-1704 - Phone
- (423) 439-6338
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
PO Box 70414
Johnson City, TN 37614-1704
Mailing address
2660 Sweet Bay Cir NW
Cleveland, TN 37312-2479
Phone (423) 584-5459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1407752405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 SWEET BAY CIR NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373122479",
"telephone_number": "423-584-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 70414",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141704",
"telephone_number": "423-439-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRKOVICH",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.