Individual provider Active NPI

Johanna Galyen, FNP-C

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1649915893
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31857 Issued in TN
Practice address
111 W Stone Dr Ste 200
Kingsport, TN 37660-6028
Phone
(423) 723-2030
NPI assigned
May 2, 2022
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31857 TN Primary
Family Nurse Practitioner 363LF0000X 0024185326 VA

Addresses

Primary practice location

111 W Stone Dr Ste 200
Kingsport, TN 37660-6028

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

350 Blountville Hwy Ste 205
Bristol, TN 37620-1671
Phone (423) 968-6650

Other practice location 2

115 Judge Gresham Rd Ste B
Gray, TN 37615-6213
Phone (423) 477-2010

Other practice location 3

350 Blountville Hwy Ste 106
Bristol, TN 37620-1671
Phone (423) 968-2446

Other practice location 4

308 8th St
Bristol, TN 37620-2228
Phone (423) 844-6860

Other practice location 5

16431 Wise St
Saint Paul, VA 24283-3537
Phone (276) 762-2300

Other practice location 6

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1103

Other practice location 7

344 Overlook Dr Ste 100
Lebanon, VA 24266-3436
Phone (276) 883-8042

Other practice location 8

701 Med Tech Pkwy Ste 401
Johnson City, TN 37604-2372
Phone (423) 631-0646

Other practice location 9

12180 Alder St
Meadowview, VA 24361-3938
Phone (276) 695-0205

Other practice location 10

1497 W Elk Ave Ste 21
Elizabethton, TN 37643-2896
Phone (423) 543-1261

Other practice location 11

403 Princeton Rd Ste 10
Johnson City, TN 37601-2062
Phone (423) 431-7340

Other practice location 12

2205 Pavilion Dr Ste 101
Kingsport, TN 37660-4641
Phone (423) 282-7080

Other practice location 13

2204 Pavilion Dr Ste 200
Kingsport, TN 37660-4652
Phone (423) 224-3900

Other practice location 14

250 Stage Coach Rd
Bristol, VA 24201-8304
Phone (276) 466-0584

Other practice location 15

2885 Boones Creek Rd Ste 202
Johnson City, TN 37615-8004
Phone (423) 952-8050

Other practice location 16

1 Medical Park Blvd Ste 200E
Bristol, TN 37620-7498
Phone (423) 844-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230811003037 TN Practitioner - Nurse Practitioner 8527420231 Reassigns benefits to 5 organizations
I20250103001572 VA Practitioner - Nurse Practitioner 8527420231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
Mountain States Health AllianceGroup PAC ID 6002726718, 23 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
200E
Bristol, TN 37620-7459
Phone (423) 844-5100

1497 W Elk Ave
Suite 21
Elizabethton, TN 37643-2872
Phone (423) 542-7420

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1103

250 Stage Coach Rd
Bristol, VA 24201-8304
Phone (276) 466-0584

344 Overlook Dr
Lebanon, VA 24266-3436
Phone (276) 883-8042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 26, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Dec 12, 2024 Accepting new patients
Mountain States Health Alliance Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Abingdon Physician Partners CurrentSince Jan 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 26, 2023 Accepting new patients
Mountain States Health Alliance CurrentSince Oct 13, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 12, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 27, 2023 Accepting new patients
Mountain States Health Alliance CurrentSince Jan 1, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 27, 2023 Accepting new patients
Mountain States Health Alliance CurrentSince Oct 13, 2025 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 12, 2024 Accepting new patients
Mountain States Health Alliance Past Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients
Blue Ridge Medical Management C Orporation PastSince May 3, 2020 Accepting new patients

Locations (25 of 31)

1 Medical Park Blvd
Ste 200E
Bristol, TN 37620
Phone (423) 844-5100

308 8th St
Bristol, TN 37620
Phone (423) 844-6860

350 Blountville Hwy
Ste 106
Bristol, TN 37620
Phone (423) 844-6120

350 Blountville Hwy
Ste 205
Bristol, TN 37620
Phone (423) 968-2732

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1497 W Elk Ave
Ste 21
Elizabethton, TN 37643
Phone (423) 542-7420

115 Judge Gresham Rd
Ste B
Gray, TN 37615
Phone (423) 477-2010

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

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

2885 Boones Creek Rd
Ste 202
Johnson City, TN 37615
Phone (423) 952-8050

403 Princeton Rd
Ste 10
Johnson City, TN 37601
Phone (423) 431-7340

701 Med Tech Pkwy
Ste 401
Johnson City, TN 37604
Phone (423) 631-0646

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3375

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1797 Fort Henry Dr
Kingsport, TN 37664
Phone (423) 830-0516

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

2205 Pavilion Dr
Ste 101
Kingsport, TN 37660
Phone (423) 392-6000

525 W Broadway Ave
Maryville, TN 37801
Phone (865) 268-4265

2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225

1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

603 Campus Dr
#100
Abingdon, VA 24210
Phone (276) 628-4406

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1649915893",
    "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": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W STONE DR STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376606028",
            "telephone_number": "423-723-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Blountville Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201671",
            "country_code": "US",
            "telephone_number": "423-968-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Judge Gresham Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "TN",
            "postal_code": "376156213",
            "country_code": "US",
            "telephone_number": "423-477-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Blountville Hwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201671",
            "country_code": "US",
            "telephone_number": "423-968-2446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 8th St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376202228",
            "country_code": "US",
            "telephone_number": "423-844-6860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16431 Wise St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "VA",
            "postal_code": "242833537",
            "country_code": "US",
            "telephone_number": "276-762-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 Overlook Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Med Tech Pkwy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042372",
            "country_code": "US",
            "telephone_number": "423-631-0646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12180 Alder St",
            "address_purpose": "LOCATION",
            "city": "Meadowview",
            "state": "VA",
            "postal_code": "243613938",
            "country_code": "US",
            "telephone_number": "276-695-0205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 21",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-543-1261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Princeton Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376012062",
            "country_code": "US",
            "telephone_number": "423-431-7340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Pavilion Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604641",
            "country_code": "US",
            "telephone_number": "423-282-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Pavilion Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604652",
            "country_code": "US",
            "telephone_number": "423-224-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Stage Coach Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242018304",
            "country_code": "US",
            "telephone_number": "276-466-0584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2885 Boones Creek Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376158004",
            "country_code": "US",
            "telephone_number": "423-952-8050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd Ste 200E",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207498",
            "country_code": "US",
            "telephone_number": "423-844-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALYEN",
        "first_name": "JOHANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31857",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.