Individual provider Active NPI

Reghan W Maddox, FNP

  • Family Nurse Practitioner
  • Rogersville, TN
National Provider Identifier
1790410074
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32122 Issued in TN
Practice address
405 Scenic Dr Ste a
Rogersville, TN 37857-2441
Phone
(423) 921-3490
NPI assigned
Jul 20, 2022
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32122 TN Primary

Addresses

Primary practice location

405 Scenic Dr Ste a
Rogersville, TN 37857-2441

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

Other practice location 2

111 W Stone Dr Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

Other practice location 3

438 E Vann Rd Ste 301
Greeneville, TN 37743
Phone (423) 787-7496

Other practice location 4

1410 Tusculum Blvd Ste 2200
Greeneville, TN 37745-5822
Phone (423) 639-0243

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913001210 TN Practitioner - Nurse Practitioner 8123403094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

405 Scenic Dr
Suite a
Rogersville, TN 37857-2441
Phone (423) 272-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32122TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 27, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 27, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Aug 27, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 27, 2023 Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

1497 W Elk Ave
Ste 11
Elizabethton, TN 37643
Phone (423) 542-7480

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

438 E Vann Rd
Ste 301
Greeneville, TN 37743
Phone (423) 278-1650

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

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950

405 Scenic Dr
Ste A
Rogersville, TN 37857
Phone (423) 272-2111

Interoperability endpoints

  • Direct secure messaging: rmaddox310111@balladhealth.medalliesdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1790410074",
    "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": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SCENIC DR STE A",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572441",
            "telephone_number": "423-921-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2686 W State St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "37620",
            "country_code": "US",
            "telephone_number": "423-844-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Stone Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37660",
            "country_code": "US",
            "telephone_number": "423-224-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 E Vann Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "37743",
            "country_code": "US",
            "telephone_number": "423-787-7496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Tusculum Blvd Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377455822",
            "country_code": "US",
            "telephone_number": "423-639-0243",
            "fax_number": "423-639-0628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "REGHAN",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.