Podiatric Clinics of Northeast Tn
NPI 1619525961 · Foot & Ankle Surgery Podiatrist · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Podiatric Clinics of Northeast Tn is a Foot & Ankle Surgery Podiatrist organization in Johnson City, TN (NPI 1619525961).
Provider details
- NPI number
- 1619525961
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Sallee Randolph, Owner(423) 232-1771
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Other names (DBA / former)
- Doing business as
- Foot & Ankle Center
- Doing business as
- Foot & Ankle Center
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Frequently asked questions
- What is Podiatric Clinics of Northeast Tn's NPI number?
- Podiatric Clinics of Northeast Tn's National Provider Identifier (NPI) is 1619525961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Podiatric Clinics of Northeast Tn?
- Podiatric Clinics of Northeast Tn is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Podiatric Clinics of Northeast Tn located?
- Podiatric Clinics of Northeast Tn's practice location on file with NPPES is 1303 Sunset Dr Ste 6, Johnson City, TN 37604-7905.
- What is Podiatric Clinics of Northeast Tn's phone number?
- The practice phone number listed in the NPPES registry for Podiatric Clinics of Northeast Tn is (423) 232-1771.
- Does Podiatric Clinics of Northeast Tn accept Medicare?
- Podiatric Clinics of Northeast Tn 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 Podiatric Clinics of Northeast Tn?
- The authorized official listed on Podiatric Clinics of Northeast Tn's NPPES record is Sallee Randolph, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Podiatric Clinics of Northeast Tn's NPI active?
- Yes — Podiatric Clinics of Northeast Tn's NPI (1619525961) is active in the NPPES registry as of the last update on 2024-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.