Individual provider Active NPI

James Koonce, MD

  • Neuroradiology Physician
  • Johnson City, TN
National Provider Identifier
1851480776
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
48349 Issued in TN
Practice address
1301 Sunset Dr Ste 3
Mountain Empire Radiology
Johnson City, TN 37604-7906
Phone
(423) 926-4966
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X LL28898 SC
Diagnostic Radiology Physician 2085R0202X 2011-00273 NC
Neuroradiology Physician 2085N0700X 48349 TN Primary

Addresses

Primary practice location

1301 Sunset Dr Ste 3
Mountain Empire Radiology
Johnson City, TN 37604-7906

Mailing address

1301 Sunset Dr Ste 3
Mountain Empire Radiology
Johnson City, TN 37604-7906
Phone (423) 926-4966

Other names 1

  • Dr. Jay Koonce Other name

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
I20120618000469 TN Practitioner - Diagnostic Radiology 8820252109 Reassigns benefits to 3 organizations
I20160713002069 VA Practitioner - Diagnostic Radiology 8820252109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00273NCMDDiagnostic Radiology Physician
LL28898SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Empire Radiology Inc PC Diagnostic Radiology CurrentSince Jun 25, 2012 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jun 3, 2022 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jun 3, 2022 Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

208 Sunset Dr
Ste 370
Johnson City, TN 37604
Phone (423) 926-4966

1301 Sunset Dr
Ste 3
Johnson City, TN 37604
Phone (423) 588-7130

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

312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1851480776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUNSET DR STE 3",
            "address_2": "MOUNTAIN EMPIRE RADIOLOGY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047906",
            "telephone_number": "423-926-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUNSET DR STE 3",
            "address_2": "MOUNTAIN EMPIRE RADIOLOGY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047906",
            "telephone_number": "423-926-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "LL28898",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2011-00273",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TN",
            "license": "48349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "KOONCE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.