Smokie Mountain Dialysis Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SMOKIE MOUNTAIN DIALYSIS INC.

Practice address

101 Med Tech Pkwy
Suite 406
Johnson City, TN 37604-4007

Phone

(423) 232-8882

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Stanley Eugene Vermillion, M.D.NPI 1699779629

Title

President

Phone

(423) 232-8882

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Eugene Vermillion, MD

  • Nephrology Physician
  • Johnson City, TN
  • NPI 1699779629
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1417031071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4087",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY",
            "address_2": "SUITE 406",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044007",
            "telephone_number": "423-232-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKIE MOUNTAIN DIALYSIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "VERMILLION",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-232-8882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4146761",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna N Smith, NP
• Steven Michael Smith, MD
• Wayne O Smith, MD
• Shelley Ann Smithdeal, MS, CCC-SLP
• Smokey Mountain Anesthesia PC
• Kelly Smoot
• Whitney Smotherman
• Timothy Scott Smyth, M.D.
• Reagan Begley Smythe, BSN-RN
• Ashlee P Snapp, FNP-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.