Surgical Group of Johnson City, MPC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD19488 Issued in TN

Legal business name

SURGICAL GROUP OF JOHNSON CITY, MPC

Practice address

310 N State of Franklin Rd Ste 404
Johnson City, TN 37604-6063

Phone

(423) 975-0764

Fax

(423) 975-0141

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott D Watson, MD

Title

President

Phone

(423) 975-0764

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrew William Garrett, MD

  • Surgery Physician
  • Kingsport, TN
  • NPI 1710399597

  Multi-Specialty

  NPD
• Janette R. Peterson, NP

  • Nurse Practitioner
  • Johnson City, TN
  • NPI 1811983844
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750301685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD STE 404",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046063",
            "telephone_number": "423-975-0764",
            "fax_number": "423-975-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD STE 404",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046063",
            "telephone_number": "423-975-0764",
            "fax_number": "423-975-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP OF JOHNSON CITY, MPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-975-0764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD19488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Path Counseling, PLLC
• Sunrise Medical Associates Inc.
• Sunset Eye Care PC
• Leah Alexandra Surbaugh, PHARMD
• Gary Surber, PHARM.D.
• Surgical Services of East Tennessee PC
• Brandy Ann Asher Sutherland
• Michael Eugene Sutherland Jr., D.O.
• Megan Paige Sutphin, PA-C
• Shawn A Sutterlin, PA-C

• Surgery Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.