Active NPI
Stephanie Johnson Powell, MD
- Internal Medicine Physician
- Bristol, TN
National Provider Identifier
1992983548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50031
- Practice address
- 220 Whitaker Dr
Bristol, TN 37620-6237 - Phone
- (423) 967-7770
- Fax
- (855) 212-0697
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 50031 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 14936 | MS |
Addresses
Primary practice location
220 Whitaker Dr
Bristol, TN 37620-6237
Mailing address
James H. Quillen Vamc
Primary Care BLDG 160
Mountain Home, TN 37684
Phone (423) 926-1171
Other names 1
- Stephanie Powell Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14936 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759017600000",
"number": "1992983548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JAMES H. QUILLEN VAMC",
"address_2": "PRIMARY CARE BLDG 160",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171",
"fax_number": "423-979-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WHITAKER DR",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376206237",
"telephone_number": "423-967-7770",
"fax_number": "855-212-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "STEPHANIE",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2025-09-28",
"certification_date": "2025-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "50031",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "14936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "JACKSON",
"middle_name": "POWELL",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.