Individual provider Active NPI

John W Thurman, PH.D

  • Clinical Psychologist
  • Elizabethton, TN
National Provider Identifier
1790705341
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000002598 Issued in TN
Practice address
1633 Hillview Dr
Elizabethton, TN 37643-4115
Phone
(423) 282-1480
Fax
(423) 928-1353
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BH Services Southeast 1 PC 96 clinicians
Ipc Pac Healthcare Services of Tennessee PC 74 clinicians
NV Pacs 2 LLC 119 clinicians

Practice addresses (Care Compare)

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

2012 Sherwood Dr
Johnson City, TN 37601-3238
Phone (423) 928-3168

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000510 TN Practitioner - Clinical Psychologist 3072520246 Reassigns benefits to 5 organizations
Practice locations: Elizabethton, TN; Johnson City, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0000002598TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Oct 1, 2016 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
BH Services Southeast 1 PC CurrentSince May 1, 2025 Accepting new patients
Southeastern Physician Services PC CurrentSince Oct 1, 2016 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 18, 2021 Accepting new patients
Wayne E Tasker Past Accepting new patients
Wayne E. Tasker and Associates, Inc. Clinical Past Accepting new patients
Neurobehavioral Associates PastSince Mar 17, 1999 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1200 Spruce Ln
Elizabethton, TN 37643
Phone (423) 543-3202

1633 Hillview Dr
Elizabethton, TN 37643
Phone (423) 543-2571

1666 Hillview Dr
Elizabethton, TN 37643
Phone (423) 542-5061

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615
Phone (423) 928-1145

2421 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 288-3988

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000002598 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

1633 Hillview Dr
Elizabethton, TN 37643-4115

Mailing address

2 Redbush CT
Suite 2
Johnson City, TN 37601-4340
Phone (423) 283-4958

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3983164MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2016.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1790705341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 REDBUSH CT",
            "address_2": "SUITE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014340",
            "telephone_number": "423-283-4958",
            "fax_number": "423-283-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 HILLVIEW DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434115",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3983164",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.