Unaka Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO0000001740 Issued in TN

Legal business name

UNAKA INTERNAL MEDICINE, LLC

Practice address

500 Love St
Erwin, TN 37650

Phone

(423) 735-4160

Fax

(423) 735-4159

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles G Miller II, DONPI 1366492639

Title

Physician/President

Phone

(423) 735-4160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Charles G Miller II, DO

  • Internal Medicine Physician
  • Erwin, TN
  • NPI 1366492639
  Medicare reassignment NPD Authorized official
• Falon Nicole Vallie, FALON VALLIE FNP-BC

  • Family Nurse Practitioner
  • Greeneville, TN
  • NPI 1043017031

  Internal Medicine

  NPD
• Brooklyn Whitson, FNP-C

  • Nurse Practitioner
  • Erwin, TN
  • NPI 1629741434
  NPD
• Laura Kay Berry, APRN, FNP

  • Family Nurse Practitioner
  • Erwin, TN
  • NPI 1336700889
  NPD (past)
• Amanda M Malone, MSN, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1033537428
  NPD (past)
• Andrea Lauren Smith Johnson, FNP

  • Primary Care Nurse Practitioner
  • Johnson City, TN
  • NPI 1083125140
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1619904570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LOVE STREET",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-735-4160",
            "fax_number": "423-735-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LOVE ST",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-735-4160",
            "fax_number": "423-735-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNAKA INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "423-735-4160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "DO0000001740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodie K Swanson, PHARMD
• Suzonne S Swihart, RN NP
• Celeste Carol Taylor, LPC
• TLC Mobile Clinic, LLC
• Joel J Troy, RPH
• Unicoi Ambulance Service, Inc.
• Unicoi County Emergency Medical Services Inc.
• Unicoi County Family Practice
• Unicoi County Medical Services, Inc.
• Unicoi County Memorial Hospital

• Internal Medicine Physician in Erwin, TN
• Providers in Erwin, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.