Active NPI
Leslie Sullins, FNP-C
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23046
- Practice address
- 378 Marketplace Blvd Ste 6
Johnson City, TN 37604-2361 - Phone
- (423) 656-0716
- Fax
- (423) 656-0705
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23046 | TN | Primary |
Addresses
Primary practice location
378 Marketplace Blvd Ste 6
Johnson City, TN 37604-2361
Mailing address
2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175150 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Health System | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Brock Hughes Free Clinic, Inc. | Past | Accepting new patients |
Locations
1913 Highway 394
Blountville, TN 37617
Phone (423) 662-7002
2103 Forest Dr
Ste 5
Gray, TN 37615
Phone (423) 477-2885
301 Med Tech Pkwy
Ste 240
Johnson City, TN 37604
Phone (423) 794-5520
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
Interoperability endpoints
- lsullins74350@balladhealth.medalliesdirect.net
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
- leslie.sullins@237407481626628.direct.elationemr.com
Organizations & group practices 9
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 1063459410
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1558812198
-
- Primary Care Clinic/Center
- Wytheville, VA
- NPI 1558522938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1619490307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HAYES ST STE 800",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032659",
"telephone_number": "615-329-0570",
"fax_number": "615-329-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 MARKETPLACE BLVD STE 6",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042361",
"telephone_number": "423-656-0716",
"fax_number": "423-656-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLINS",
"first_name": "LESLIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "23046",
"primary": true
}
],
"identifiers": [],
"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 6, 2026; 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.