IndividualActive
Jerry Walkup, M.D.
NPI 1578856985 · Pediatric Cardiology Physician · Johnson City, TN
Provider details
- NPI number
- 1578856985
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101256238 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2312 Knob Creek Rd Ste 208
Johnson City, TN 37604-2367
Phone: (423) 610-1099
Fax: (423) 246-4300
Approximate (ZIP-level) locationGet directions
Mailing address
2312 Knob Creek Rd Ste 208
Johnson City, TN 37604-2367
Additional practice locations (2)
- 935 Wilcox Ct Ste 150Kingsport, TN 37660-5183Phone: (423) 610-1099Fax: (423) 246-4300
- 1490 Park Ave Nw # 4b-2Norton, VA 24273-1631Phone: (423) 610-1099Fax: (423) 246-4300
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.