East Tennessee Medical Associates, P.C.
NPI 1619089034 · Nephrology Physician · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Tennessee Medical Associates, P.C. is a Nephrology Physician organization in Johnson City, TN (NPI 1619089034).
Provider details
- NPI number
- 1619089034
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Vermillion, Vice-President(423) 929-7158
- License
- MD6775 (TN)
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
20 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
- 2006-08-31
- Last updated
- 2010-01-13
Frequently asked questions
- What is East Tennessee Medical Associates, P.C.'s NPI number?
- East Tennessee Medical Associates, P.C.'s National Provider Identifier (NPI) is 1619089034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Medical Associates, P.C.?
- East Tennessee Medical Associates, P.C. is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is East Tennessee Medical Associates, P.C. located?
- East Tennessee Medical Associates, P.C.'s practice location on file with NPPES is 107 Woodlawn Dr, Johnson City, TN 37604-5978.
- What is East Tennessee Medical Associates, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Medical Associates, P.C. is (423) 929-7158.
- Does East Tennessee Medical Associates, P.C. accept Medicare?
- East Tennessee Medical Associates, 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 East Tennessee Medical Associates, P.C.?
- The authorized official listed on East Tennessee Medical Associates, P.C.'s NPPES record is Stanley Vermillion, Vice-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Medical Associates, P.C.'s NPI active?
- Yes — East Tennessee Medical Associates, P.C.'s NPI (1619089034) is active in the NPPES registry as of the last update on 2010-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.