OrganizationActive
Imperial Healthcare Services
NPI 1033410220 · Primary Care Clinic/Center · Johnson City, TN
Provider details
- NPI number
- 1033410220
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renee Buckles, Vice President(423) 930-5168
- License
- MD0000038183 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1604 Lamons Ln Ste 230
Johnson City, TN 37604-8224
Phone: (423) 930-5168
Fax: (423) 328-0193
Street-level locationGet directions
Mailing address
1604 Lamons Ln Ste 230
Johnson City, TN 37604-8224
Registry dates
- Enumerated
- 2010-11-04
- Last updated
- 2010-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.