OrganizationActive
Erwin Medical Clinic
NPI 1629073630 · Primary Care Clinic/Center · Erwin, TN
Provider details
- NPI number
- 1629073630
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Dixon, Physician Assistant(423) 743-9994
- License
- 00000187 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
21 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
1201 N Main Ave
Ste 3
Erwin, TN 37650-9168
Phone: (423) 743-9994
Fax: (423) 743-9995
Street-level locationGet directions
Mailing address
3101 Browns Mill Rd
Johnson City, TN 37604-4100
Registry dates
- Enumerated
- 2005-06-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.