Jack Woodside, M.D.
NPI 1619953494 · Family Medicine Physician · Johnson City, TN
Jack Woodside, M.D. is a Family Medicine Physician provider in Johnson City, TN (NPI 1619953494).
Provider details
- NPI number
- 1619953494
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 17275 (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
- 2005-12-22
- Last updated
- 2010-11-08
Frequently asked questions
- What is Jack Woodside's NPI number?
- Jack Woodside's National Provider Identifier (NPI) is 1619953494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Woodside's specialty?
- Jack Woodside is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Woodside located?
- Jack Woodside's practice location on file with NPPES is 917 W Walnut St, Johnson City, TN 37604-6527.
- What is Jack Woodside's phone number?
- The practice phone number listed in the NPPES registry for Jack Woodside is (423) 439-6464.
- Is Jack Woodside's NPI active?
- Yes — Jack Woodside's NPI (1619953494) is active in the NPPES registry as of the last update on 2010-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.