Organization Active NPI

John Lawson Surgical Group, PC

  • Surgery Physician
  • Johnson City, TN
National Provider Identifier
1487699617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOHN LAWSON SURGICAL GROUP, PC
Practice address
3 Professional Park Dr Ste 31
Johnson City, TN 37604-6529
Phone
(423) 975-5650
Fax
(423) 975-5652
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Margaret Owens
Title
Administrator
Phone
(423) 975-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3 Professional Park Dr Ste 31
Johnson City, TN 37604-6529

Mailing address

3 Professional Park Drive
Suite 31
Johnson City, TN 37604-6529
Phone (423) 975-5650

Other identifiers 1

IdentifierTypeStateIssuer
3388129MedicaidTN

National Provider Directory

National Provider Directory

Locations

2 Professional Park Dr
Ste 11
Johnson City, TN 37604
Phone (423) 434-0642

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487699617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DRIVE",
            "address_2": "SUITE 31",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-975-5650",
            "fax_number": "423-975-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR STE 31",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-975-5650",
            "fax_number": "423-975-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LAWSON SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-975-5650"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3388129",
            "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 Jul 21, 2022; 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.