Living Water Vein Institute, P.C.
NPI 1134782170 · Cardiovascular Disease Physician · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Living Water Vein Institute, P.C. is a Cardiovascular Disease Physician organization in Johnson City, TN (NPI 1134782170).
Provider details
- NPI number
- 1134782170
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Berry, Medical Director(423) 631-0101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-04-16
- Last updated
- 2019-08-19
Frequently asked questions
- What is Living Water Vein Institute, P.C.'s NPI number?
- Living Water Vein Institute, P.C.'s National Provider Identifier (NPI) is 1134782170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Water Vein Institute, P.C.?
- Living Water Vein Institute, P.C. is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Living Water Vein Institute, P.C. located?
- Living Water Vein Institute, P.C.'s practice location on file with NPPES is 2800 Peoples St Ste 80, Johnson City, TN 37604-4158.
- What is Living Water Vein Institute, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Living Water Vein Institute, P.C. is (423) 631-0101.
- Does Living Water Vein Institute, P.C. accept Medicare?
- Living Water Vein Institute, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Living Water Vein Institute, P.C.?
- The authorized official listed on Living Water Vein Institute, P.C.'s NPPES record is John Berry, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Water Vein Institute, P.C.'s NPI active?
- Yes — Living Water Vein Institute, P.C.'s NPI (1134782170) is active in the NPPES registry as of the last update on 2019-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.