Active NPI
Robert John Clemons, M.D.
- Procedural Dermatology Physician
- Johnson City, TN
National Provider Identifier
1861495012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 35668
- Practice address
- 1009 North State of Franklin Access Road
Johnson City, TN 37604 - Phone
- (423) 929-7546
- Fax
- (423) 929-7968
- NPI assigned
- May 23, 2005
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35668 | TN | |
| Pediatric Dermatology Physician | 207NP0225X | 35668 | TN | |
| Procedural Dermatology Physician | 207NS0135X | 35668 | TN | Primary |
Addresses
Primary practice location
1009 North State of Franklin Access Road
Johnson City, TN 37604
Mailing address
1009 North State of Franklin Access Road
Johnson City, TN 37604
Phone (423) 929-7546
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 N State of Franklin Rd
Johnson City, TN 37604-3693
Phone (423) 929-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.14 of 100
- Quality
- 76.93
- Improvement activities
- 40
- Cost
- 81.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 2413 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 23 |
| Skin biopsy | 775 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35668 | TN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence H Reid MD PC | Dermatology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dermatology Physician
- Johnson City, TN
- NPI 1295824415
-
- Dermatology Physician
- Greeneville, TN
- NPI 1477624336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861495012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 NORTH STATE OF FRANKLIN ACCESS ROAD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-929-7546",
"fax_number": "423-929-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 NORTH STATE OF FRANKLIN ACCESS ROAD",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-929-7546",
"fax_number": "423-929-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "35668",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "TN",
"license": "35668",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "TN",
"license": "35668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.