OrganizationActive
Id Micro PLLC
NPI 1477598076 · Infectious Disease Physician · Kingsport, TN
Provider details
- NPI number
- 1477598076
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anton Maki, Owner(423) 915-1126
- License
- MD38189 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 915-1126
Street-level locationGet directions
Mailing address
130 W Ravine Rd
Kingsport, TN 37660-3837
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2012-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.