Individual provider Active NPI

Amanda Kay Vanlandingham, D.O.

  • Pulmonary Disease Physician
  • Johnson City, TN
National Provider Identifier
1902103666
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2519 Issued in TN
Practice address
310 N State of Franklin Rd Ste 303
Johnson City, TN 37604-6051
Phone
(423) 926-8181
Fax
(423) 926-4421
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2519 TN
Pulmonary Disease Physician 207RP1001X 2519 TN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2519 TN

Addresses

Primary practice location

310 N State of Franklin Rd Ste 303
Johnson City, TN 37604-6051

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other identifiers 1

IdentifierTypeStateIssuer
Q004194MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131227001354 TN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7012144710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

310 N State of Franklin Rd
Suite 303
Johnson City, TN 37604-6051
Phone (423) 926-8181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2519TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Internal Medicine CurrentSince Aug 9, 2024 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Pulmonary Associates of East Tennessee, P.C. Pulmonary Disease CurrentSince Sep 23, 2017 Accepting new patients

Locations

310 N State of Franklin Rd
Ste 303
Johnson City, TN 37604
Phone (423) 926-8181

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100

Interoperability endpoints

  • Direct secure messaging: amandavanlandingham@paetn.allscriptsdirect.net
  • Direct secure messaging: amandavanlandingham@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1902103666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD STE 303",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046051",
            "telephone_number": "423-926-8181",
            "fax_number": "423-926-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLANDINGHAM",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2519",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "2519",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "2519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004194",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.