Individual provider Active NPI

Joni Glavan Sago, M.D.

  • Dermatology Physician
  • Johnson City, TN
National Provider Identifier
1932187200
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD0000037765 Issued in TN
Practice address
1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194
Phone
(423) 528-8833
Fax
(423) 546-7499
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD0000037765 TN Primary

Addresses

Primary practice location

1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194

Mailing address

1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194
Phone (423) 528-8833

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
I20101101000207 TN Practitioner - DermatologyPractitioner - Internal Medicine 1052505336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Johns Hopkins University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Skinwise PLLCGroup PAC ID 6709367048, 2 clinicians
Dermatology Associates, P.C.Group PAC ID 3971578816, 26 clinicians

Practice addresses (Care Compare)

1627 Old Gray Station Rd
Suite 30
Johnson City, TN 37615-4194
Phone (423) 528-8833

2300 W Stone Dr
Kingsport, TN 37660-2360
Phone (423) 246-4961

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions468
Removal or shaving of skin growth11
Skin biopsy89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000037765TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Clinics Unlimited PLLC Dermatology CurrentSince Jan 4, 2026 Accepting new patients
Skinwise PLLC Dermatology CurrentSince Jan 1, 2026 Accepting new patients
Dermatology Associates, P.C. Dermatology CurrentSince Sep 1, 2003 Accepting new patients

Locations

3183 W State St
Ste 1102
Bristol, TN 37620
Phone (423) 764-7131

1627 Old Gray Station Rd
Ste 30
Johnson City, TN 37615
Phone (423) 282-3376

2885 Boones Creek Rd
Johnson City, TN 37615
Phone (423) 928-9014

2300 W Stone Dr
Kingsport, TN 37660
Phone (423) 246-4961

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1932187200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 OLD GRAY STATION RD STE 30",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154194",
            "telephone_number": "423-528-8833",
            "fax_number": "423-546-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 OLD GRAY STATION RD STE 30",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154194",
            "telephone_number": "423-528-8833",
            "fax_number": "423-546-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGO",
        "first_name": "JONI",
        "middle_name": "GLAVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000037765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.