Phillip E Justice, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2369 Issued in TN

Practice address

1700 Pinebrook Dr
Ste. 2
Kingsport, TN 37660-4365

Phone

(423) 245-3170

NPI assigned

Jul 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1700015773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 HIGHLAND GLEN CT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154595",
            "telephone_number": "865-385-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PINEBROOK DR",
            "address_2": "STE. 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604365",
            "telephone_number": "423-245-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "PHILLIP",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528770",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hetvi Kiritkumar Joshi, M.D.
• Jason D Joyce
• Kayla J Joyce, NP
• Judith J. Fischer, MD
• Heather Carlson Justice, MSPAP, PA-C
• Rona C Justice, APN
• Aaron W Justus, PTA
• K & M Pharmacy PC (Colonial Heights Pharmacy)
• K & M Pharmacy PC (Colonial Heights Pharmacy)
• K VA T Food Stores Inc (Food City Pharmacy)

• Neurology Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.