Charles L Backus, DO

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

Sex

Male

Sole proprietor

No

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.

• Emmaus Community Healthcare, PLLC

  • General Practice Physician
  • Piney Flats, TN
  • NPI 1356379093

  TN

  Medicare reassignment NPD Authorized official
• Emmaus Medical and Counseling, PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Bulls Gap, TN
  • NPI 1598256117

  TN, VA

  Medicare reassignment Care Compare group NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236

  VA

  Medicare reassignment
• Health Express

  • Urgent Care Clinic/Center
  • Greeneville, TN
  • NPI 1417352618

  TN

  Medicare reassignment
• Mobile Occ Med and Wellness, PLLC

  • Community/Behavioral Health Agency
  • Bulls Gap, TN
  • NPI 1104327360
  NPD (past) Authorized official
• Foundation Medical, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Johnson City, TN
  • NPI 1336636158
  NPD (past)
• Johnson City Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1376557348

  Emergency Medicine

  NPD (past)
• Emergency Medicine Associates of Jackson

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1043315906

  Emergency Medicine

  NPD (past)
• McLemore Emergency Physicians

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1427007483

  Emergency Medicine

  NPD (past)
• Scott County Drug

  • Community/Retail Pharmacy
  • Weber City, VA
  • NPI 1538235296
  NPD (past)
• St. Dominic Jackson Memorial

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1235173691

  Emergency Medicine

  NPD (past)
• Vicksburg Healthcare LLC

  • Anesthesiology Physician
  • Vicksburg, MS
  • NPI 1629084058

  Emergency Medicine

  NPD (past)

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, PLLC 7 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2026.

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "1551",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO1551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Becky Renee Arnold, NP
• BLC Drug, Inc
• Jama Bos, PHARMD
• Bulls Gap Medical and Walk in Clinic
• Bulls Gap Pharmacy Inc
• Laura Ivey Campbell, PHARMD

• All providers in Bulls Gap, TN
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.

Verify at the official NPI Registry.