Organization Active NPI

Welltech Internal Medicine, PLLC

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1467035253
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLTECH INTERNAL MEDICINE, PLLC
Practice address
101 Med Tech Pkwy Ste 406
Johnson City, TN 37604-4000
Phone
(888) 625-4813
NPI assigned
Apr 30, 2021
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Leslie Sullins
Title
Owner
Phone
(888) 625-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

101 Med Tech Pkwy Ste 406
Johnson City, TN 37604-4000

Mailing address

6128 Old Jonesboro Rd
Bristol, TN 37620-3020

National Provider Directory

National Provider Directory

Locations

101 Med Tech Pkwy
Ste 406
Johnson City, TN 37604
Phone (423) 232-8882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23599/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1467035253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 OLD JONESBORO RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MED TECH PKWY STE 406",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044000",
            "telephone_number": "888-625-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTECH INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "SULLINS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-625-4813"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "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 Apr 30, 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.

Verify at the official NPI Registry.