Individual provider Active NPI

Charles L Backus, DO

  • Emergency Medicine Physician
  • Bulls Gap, TN
National Provider Identifier
1801856414
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO1551 Issued in TN
Practice address
273 Highway 11 E
Bulls Gap, TN 37711-3433
Phone
(423) 393-4146
Fax
(423) 393-4377
NPI assigned
Mar 27, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO1551 TN Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 1551 TN

Addresses

Primary practice location

273 Highway 11 E
Bulls Gap, TN 37711-3433

Mailing address

273 Highway 11 E Ste E
Bulls Gap, TN 37711-3434
Phone (423) 393-4146

Other practice location 1

2834 US Highway 23 N
Weber City, VA 24290-7085
Phone (276) 885-0190

Other practice location 2

1730 Old Gray Station Rd
Johnson City, TN 37615-3869
Phone (423) 202-3008

Other identifiers 1

IdentifierTypeStateIssuer
3300057MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040402001281 TN Practitioner - Emergency MedicinePractitioner - Hospitalist 8729070107 Reassigns benefits to 3 organizations
I20111027000955 VA Practitioner - Emergency Medicine 8729070107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Oklahoma State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emmaus Medical and Counseling, PLLCGroup PAC ID 1153673389, 7 clinicians

Practice addresses (Care Compare)

273 Hwy 11 E
Bulls Gap, TN 37711-3433
Phone (423) 393-4147

2834 US Hwy 23 N
Weber City, VA 24290-7085
Phone (276) 885-0190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1551TNMDEmergency Medicine Physician
1551TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emmaus Community Healthcare, PLLC CurrentSince Apr 1, 2004 Accepting new patients
Emmaus Medical and Counseling, PLLC CurrentSince Jun 1, 2018 Accepting new patients
Emergency Medicine Associates of Jackson Emergency Medicine Past Accepting new patients
Mobile Occ Med and Wellness, PLLC PastSince Jun 1, 2018 Accepting new patients
St. Dominic Jackson Memorial Emergency Medicine Past Accepting new patients
Foundation Medical, Inc. PastSince Oct 1, 2018 Accepting new patients
Johnson City Emergency Physicians, PC Emergency Medicine Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Scott County Drug PastSince Nov 17, 2021 Accepting new patients
Vicksburg Healthcare LLC Emergency Medicine Past Accepting new patients

Locations

273 Highway 11 E
Bulls Gap, TN 37711
Phone (423) 393-4146

273 Highway 11 E
Ste E
Bulls Gap, TN 37711
Phone (423) 393-4146

1730 Old Gray Station Rd
Johnson City, TN 37615
Phone (423) 202-3008

6419 Bristol Hwy
Piney Flats, TN 37686
Phone (423) 391-1130

2834 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-3161

Interoperability endpoints

  • Direct secure messaging: charles.backus.1@10158.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1801856414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 HIGHWAY 11 E STE E",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "377113434",
            "telephone_number": "423-393-4146",
            "fax_number": "423-393-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 HIGHWAY 11 E",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "377113433",
            "telephone_number": "423-393-4146",
            "fax_number": "423-393-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2834 US Highway 23 N",
            "address_purpose": "LOCATION",
            "city": "Weber City",
            "state": "VA",
            "postal_code": "242907085",
            "country_code": "US",
            "telephone_number": "276-885-0190",
            "fax_number": "276-885-0191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 Old Gray Station Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376153869",
            "country_code": "US",
            "telephone_number": "423-202-3008",
            "fax_number": "423-202-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKUS",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO1551",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "1551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulls Gap, TN

Sources for this page

Verify at the official NPI Registry.