Active NPI
Travis J Anderson, MD
- Internal Medicine Physician
- Johnson City, TN
National Provider Identifier
1760945455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 64910
- Practice address
- 301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641 - Phone
- (423) 794-5520
- Fax
- (423) 282-6940
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 64910 | TN | Primary |
Addresses
Primary practice location
301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 794-5520
Other practice location 1
444 Clinchfield St Ste 201
Kingsport, TN 37660-3863
Phone (423) 230-2100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220805002536 | TN | Practitioner - Internal Medicine | 4385970839 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Franklin Healthcare Associates, PLLC
Practice addresses (Care Compare)
313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Indian Path Community Hospital
- Johnson City Medical Center
- Rehabilitation Hospital of Kingsport, a Joint Vent
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64910 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Internal Medicine | Current | Accepting new patients |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients |
Locations
301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590
301 Med Tech Pkwy
Ste 240
Johnson City, TN 37604
Phone (423) 794-5520
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100
Interoperability endpoints
- tanderson315984@direct.gundersenhealth.org
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
Internal Medicine, TN
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Kingsport, TN
- NPI 1588637284
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1760945455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632476",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632476",
"telephone_number": "423-794-5520",
"fax_number": "423-282-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MED TECH PKWY STE 240",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042641",
"telephone_number": "423-794-5520",
"fax_number": "423-282-6940"
}
],
"practiceLocations": [
{
"address_1": "444 Clinchfield St Ste 201",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603863",
"country_code": "US",
"telephone_number": "423-230-2100",
"fax_number": "423-230-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "TRAVIS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "64910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.