John Clayton Skarda, M.D.
Individual provider Active NPI Emergency Medicine Physician · Linville, NC
NPI 1659314748 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1659314748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101260969 (VA)
- Practice address
- 434 Hospital Drive
Linville, NC 28646 - Phone
- (800) 291-4020
- Fax
- (919) 419-7247
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NC, TN, VA, GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040729001248 | NC | Practitioner - Family Practice | 2264402809 | Reassigns benefits to 1 organization |
| I20161003000765 | TN | Practitioner - Family Practice | 2264402809 | Reassigns benefits to 3 organizations |
| I20161011000300 | VA | Practitioner - Family Practice | 2264402809 | Reassigns benefits to 3 organizations |
| I20250319000668 | GU | Practitioner - Emergency Medicine | 2264402809 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101260969 | VA | MD | Emergency Medicine Physician |
| 32865 | NC | MD | Family Medicine Physician |
| 54731 | TN | MD | Family Medicine Physician |
Practice roles
Locations
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
127 Health Care Dr
#3
Pennington Gap, VA 24277
Phone (276) 546-1148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 32865 | NC | |
| Family Medicine Physician | 207Q00000X | 32865 | NC | |
| Family Medicine Physician | 207Q00000X | 54731 | TN | |
| Family Medicine Physician | 207Q00000X | 0101260969 | VA | |
| Emergency Medicine Physician | 207P00000X | 0101260969 | VA | Yes |
Addresses
Primary practice location
434 Hospital Drive
Linville, NC 28646
Mailing address
3211 Shannon Rd
Suite 300
Durham, NC 27707-6322
Phone (800) 291-4020
Other practice location 1
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000
Other practice location 2
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
Other practice location 3
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100
Other practice location 4
100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513475 | Medicaid | TN | |
| 1659314748 | Medicaid | VA |
Other providers in Linville, NC
- Mountain Laurel Internal Medicine,PA
- Laura C Petche
- Caitlin Silver Porter
- Carol Gail Schaffer
- Susan Ulricke Schleith
- Tate Clinic PA
- Eva L. Trivett-Clark
- Troy a. Hoover, DDS, PC
- Watauga Eye Center PA
- Watauga Medical Center Inc
All providers in Linville, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.