Individual provider Active NPI

Justin D Digby, M.D.

  • Surgery Physician
  • Elizabethton, TN
National Provider Identifier
1760435937
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD34171 Issued in TN
Practice address
1497 W Elk Ave
Suite 10
Elizabethton, TN 37643-2895
Phone
(423) 542-7440
Fax
(423) 542-7445
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD34171 TN Primary

Addresses

Primary practice location

1497 W Elk Ave
Suite 10
Elizabethton, TN 37643-2895

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other identifiers 3

IdentifierTypeStateIssuer
1760435937MedicaidVA
P01081176OtherTNRAILROAD MEDICARE
Q003376MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101103000831 TN Practitioner - General Surgery 0446310536 Reassigns benefits to 1 organization
Practice locations: Elizabethton, TN; Mountain City, TN

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Medical Management Corporation 283 clinicians

Practice addresses (Care Compare)

1497 W Elk Ave
Suite 10
Elizabethton, TN 37643-2896
Phone (423) 542-7440

Hospital & facility affiliations

  • Sycamore Shoals Hospital Hospital, Elizabethton, TN, CCN 440018
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Johnson County Community Hospital Hospital, Mountain City, TN, CCN 441304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34171TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD34171TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Surgery CurrentSince Jan 1, 2012 Accepting new patients
Mountain Empire Medical and Surgical Associates PLLC Surgery Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 1, 2012 Accepting new patients
Johnson City Emergency Physicians, PC Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

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

1503 W Elk Ave
Ste 8
Elizabethton, TN 37643
Phone (423) 542-0400

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

1497 W Elk Ave
Ste 10
Elizabethton, TN 37643
Phone (423) 542-7440

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

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

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1760435937",
    "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": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE",
            "address_2": "SUITE 10",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432895",
            "telephone_number": "423-542-7440",
            "fax_number": "423-542-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGBY",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD34171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760435937",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01081176",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003376",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.