IndividualActive
Paul Derden, MD
NPI 1780655613 · Family Medicine Physician · Johnson City, TN
Provider details
- NPI number
- 1780655613
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101036190 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
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
3 documented practice locations
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
403 Princeton Rd Ste 10
Johnson City, TN 37601-2062
Phone: (423) 431-7340
Street-level locationGet directions
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Additional practice locations (2)
- 24530 Falcon Place Blvd Ste 200Abingdon, VA 24211-7665Phone: (276) 628-1654
- 602 W Morgan AveSuite 3Pennington Gap, VA 24277-2036Phone: (276) 546-5310
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.