Organization Active NPI

Appalachian Health Care, Inc

Doing business as Appalachian Family Care

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1558728931
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8014 Issued in TN
Legal business name
APPALACHIAN HEALTH CARE, INC
Doing business as
Appalachian Family Care
Practice address
1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237
Phone
(423) 282-2516
Fax
(423) 282-3743
NPI assigned
Jan 15, 2016
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
William Donald Clever, FNPNPI 1982608758
Title
Family Nurse Practioner
Phone
(423) 282-2516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8014 TN Primary

Addresses

Primary practice location

1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237

Mailing address

1009 Novus Dr Ste 1a
Johnson City, TN 37604-8237
Phone (423) 282-2516

Other names 1

  • Appalachian Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319001319 TN Part B Supplier - Clinic/Group Practice 3678980562 Receives reassigned benefits from 2 practitioners
Practice locations: Johnson City, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1071907Appalachian Family Care1009 Novus Drive, Ste 1a, Johnson City, TN 37604Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

1009 Lark St
Ste 1A
Johnson City, TN 37604
Phone (423) 282-2516

1009 Novus Dr
Ste 1A
Johnson City, TN 37604
Phone (423) 282-2516

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1558728931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 1A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-282-2516",
            "fax_number": "423-282-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NOVUS DR STE 1A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048237",
            "telephone_number": "423-282-2516",
            "fax_number": "423-282-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "CLEVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTIONER",
        "authorized_official_telephone_number": "423-282-2516",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "8014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.