Active NPI
DLV Medical, PLLC
- Addiction Medicine (Internal Medicine) Physician
- Johnson City, TN
National Provider Identifier
1629987847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- DLV MEDICAL, PLLC
- Practice address
- 2408 Susannah St Ste 1
Johnson City, TN 37601-1765 - Phone
- (828) 280-3957
- NPI assigned
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Della Vecchia, MD
- Title
- Authorized Official
- Phone
- (828) 280-3957
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Mailing address
2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone (828) 280-3957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1629987847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 SUSANNAH ST STE 1",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011765",
"telephone_number": "828-280-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 SUSANNAH ST STE 1",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011765",
"telephone_number": "828-280-3957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLV MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "DELLA VECCHIA",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "828-280-3957",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.