Princeton Healthcare Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRINCETON HEALTHCARE ASSOCIATES, PC

Practice address

206 Princeton Rd
Suite 14
Johnson City, TN 37601-2058

Phone

(423) 283-4905

Fax

(423) 283-4200

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David K Perry, DCNPI 1194710715

Title

Authorized Official

Phone

(423) 283-4055

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson City Chiropractic Clinic, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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

• David Kendall Perry, DC

  • Chiropractor
  • Johnson City, TN
  • NPI 1194710715

  TN

  Medicare reassignment NPD Authorized official
• Dawn R.B. Chapman, D.C.

  • Chiropractor
  • Johnson City, TN
  • NPI 1932193232

  TN

  Medicare reassignment NPD
• Steven Matthew Fitzgerald, MD

  • Emergency Medicine Physician
  • Morristown, TN
  • NPI 1942462098

  Internal Medicine, TN

  Medicare reassignment NPD
• Christopher Alan Perry, DC

  • Chiropractor
  • Johnson City, TN
  • NPI 1861150005
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1477826014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PRINCETON RD",
            "address_2": "SUITE 14",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012058",
            "telephone_number": "423-283-4905",
            "fax_number": "423-283-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PRINCETON RD",
            "address_2": "SUITE 14",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012058",
            "telephone_number": "423-283-4905",
            "fax_number": "423-283-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HEALTHCARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "423-283-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0083272",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson City Chiropractic Clinic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pridemore Family Chiropractic PC
• Marlea Tyler Pridemore, COTA
• Mary Diane Priesmeyer, LCSW
• Sandford W Prince, DMD
• Princeton Drug
• Victoria A Pritchett, APN
• Pro Careers LLC
• Procompounding
• Kerry Ellen Proctor-Williams, PH.D., CCC-SLP
• Professional Respiratory Services, LLC

• All providers in Johnson City, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.