OrganizationActive
Frontier Health
NPI 1124463849 · Psychiatric Residential Treatment Facility · Johnson City, TN
Provider details
- NPI number
- 1124463849
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kristie Hammonds, President & Ceo(423) 467-3600
- License
- I000000012508 (TN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
210 Quary Rd
Johnson City, TN 37601-7580
Phone: (423) 232-7234
Fax: (423) 467-3644
Street-level locationGet directions
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Other names (DBA / former)
- Doing business as
- Gibson Place 210
- Doing business as
- Gibson Place 210
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.