Individual provider Active NPI

Manju Pushkas, MD

  • Family Medicine Physician
  • Greeneville, TN
National Provider Identifier
1528629920
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66363 Issued in TN
Practice address
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone
(423) 787-5537
NPI assigned
Jun 26, 2019
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66363 TN Primary
Family Medicine Physician 207Q00000X 0101274162 VA
Hospitalist Physician 208M00000X 0101274162 VA
Hospitalist Physician 208M00000X 66363 TN

Addresses

Primary practice location

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 679-7457

Other practice location 2

16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-1100

Other practice location 3

245 Medical Park Dr Fl 2
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 4

100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Other practice location 5

58 Carroll Street
Rm 2037
Lebanon, VA 24266
Phone (276) 883-8000

Other practice location 6

2000 Brookside Dr Fl 4
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 7

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpushkas151418@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management C orporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221116002759 VA Practitioner - Hospitalist 5597133967 Reassigns benefits to 2 organizations
I20221128000180 TN Practitioner - Hospitalist 5597133967 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steele Creek Physician Services PCGroup PAC ID 1052818960, 35 clinicians
Tusculum Physician Services PCGroup PAC ID 7719476415, 35 clinicians
Tricities Healthcare SolutionsGroup PAC ID 9537651856, 2 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

560 E Main Blvd
Church Hill, TN 37642-3312
Phone (423) 256-2196

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tusculum Physician Services PC Hospitalist CurrentSince Oct 15, 2025 Accepting new patients
Spring City Walk in Medical Center, LLC Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Vision Healthcare Solutions LLC Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Hospitalist CurrentSince Sep 11, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates Inc Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Vision Healthcare Solutions LLC CurrentSince Aug 15, 2025 Accepting new patients
Tricities Healthcare Solutions Family Medicine CurrentSince Aug 23, 2025 Accepting new patients
Steele Creek Physician Services PC Hospitalist CurrentSince Nov 5, 2025 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

560 E Main Blvd
Church Hill, TN 37642
Phone (423) 256-2196

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

309 E Main St
Rogersville, TN 37857
Phone (423) 272-3677

126 Lavender St
Spring City, TN 37381
Phone (423) 365-0450

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

16000 Johnston Memorial Dr
Fl 4
Abingdon, VA 24211
Phone (276) 258-1000

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

245 Medical Park Dr
Fl 2
Marion, VA 24354
Phone (276) 378-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Interoperability endpoints

  • Direct secure messaging: mpushkas151418@balladhealth.medalliesdirect.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1528629920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454279",
            "telephone_number": "423-787-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-679-7457",
            "fax_number": "276-679-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_2": "Rm 2037",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSHKAS",
        "first_name": "MANJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "66363",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101274162",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101274162",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "66363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpushkas151418@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management C orporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1420 Tusculum Blvd",
            "city": "Greeneville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377454279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.