Active NPI
Caleb Charles Osborne, MD
- Family Medicine Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 65030
- Practice address
- 917 W Walnut St
Johnson City, TN 37604-6527 - Phone
- (423) 439-6464
- NPI assigned
- Apr 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 65030 | TN | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 65030 | TN |
Addresses
Primary practice location
917 W Walnut St
Johnson City, TN 37604-6527
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Other practice location 1
102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600
Other practice location 2
208 Medical Park Blvd
Bristol, TN 37620
Phone (423) 989-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q041980 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 439-6464
Hospital & facility affiliations
- Johnson City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Family Medicine | Past | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
408 N State of Franklin Rd
Ste 31A
Johnson City, TN 37604
Phone (423) 431-4946
917 W Walnut St
Johnson City, TN 37604
Phone (423) 439-6464
2 Professional Park Dr
Ste 11
Johnson City, TN 37604
Phone (423) 434-0642
102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600
Interoperability endpoints
- cosborne123604@balladhealth.medalliesdirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Family Medicine
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Family Medicine Physician
- Elizabethton, TN
- NPI 1629432828
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1588786768
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1467949529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 W WALNUT ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046527",
"telephone_number": "423-439-6464"
}
],
"practiceLocations": [
{
"address_1": "102 E Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "37660",
"country_code": "US",
"telephone_number": "423-245-9600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "37620",
"country_code": "US",
"telephone_number": "423-989-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "CALEB",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-15",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "65030",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "TN",
"license": "65030",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q041980",
"state": "TN"
}
],
"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 Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.