Integrated Health Transitions, Pllc | |
208 Sunset Drive Suite 210 Johnson City TN 37604 | |
(423) 926-2358 | |
(423) 926-2680 |
Full Name | Integrated Health Transitions, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 208 Sunset Drive, Johnson City, Tennessee |
Authorized Official Name and Position | Bert Jackson Smith (PROVIDER/OWNER) |
Authorized Official Contact | 4239262358 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integrated Health Transitions, Pllc 208 Sunset Drive Suite 210 Johnson City TN 37604 Ph: (423) 926-2358 | Integrated Health Transitions, Pllc 208 Sunset Drive Suite 210 Johnson City TN 37604 Ph: (423) 926-2358 |
NPI Number | 1922463470 |
---|---|
Provider Enumeration Date | 12/29/2015 |
Last Update Date | 06/07/2022 |
Medicare PECOS PAC ID | 7315242302 |
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Medicare Enrollment ID | O20160301000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922463470 | NPI | - | NPPES |
Q020910 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42425 (Tennessee) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Angela H Sullivan-bowman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063405553 PECOS PAC ID: 6608776927 Enrollment ID: I20040112000479 |
Provider Name | Nicholas J Dieringer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124003561 PECOS PAC ID: 1850375981 Enrollment ID: I20040616000754 |
Provider Name | Don E Adams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245215847 PECOS PAC ID: 6709866817 Enrollment ID: I20040721000138 |
Provider Name | Donald G Polk |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942294863 PECOS PAC ID: 5991776866 Enrollment ID: I20040804000351 |
Provider Name | James A Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184602898 PECOS PAC ID: 0547230096 Enrollment ID: I20040914000203 |
Provider Name | Kimberly A Russell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194753293 PECOS PAC ID: 7911932199 Enrollment ID: I20050927001410 |
Provider Name | Charles A Ball |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154344836 PECOS PAC ID: 9537137401 Enrollment ID: I20060209000275 |
Provider Name | Nena W Egli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376580613 PECOS PAC ID: 3779590328 Enrollment ID: I20060307000695 |
Provider Name | Rakeshkumar Patel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013998004 PECOS PAC ID: 0840298410 Enrollment ID: I20061114000336 |
Provider Name | Libby P Massie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902929532 PECOS PAC ID: 5496856973 Enrollment ID: I20070727000460 |
Provider Name | Dora Beth Soper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366622656 PECOS PAC ID: 8921181470 Enrollment ID: I20080207000299 |
Provider Name | Kelley V Jefferson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154398105 PECOS PAC ID: 9335210616 Enrollment ID: I20080613000067 |
Provider Name | Bert J Smith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497839070 PECOS PAC ID: 4587738877 Enrollment ID: I20080805000250 |
Provider Name | Mary A Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255574919 PECOS PAC ID: 8224186879 Enrollment ID: I20090508000255 |
Provider Name | Gina M Bentley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053486274 PECOS PAC ID: 8921158437 Enrollment ID: I20090603000621 |
Provider Name | Tammy Lynn Ridley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992971238 PECOS PAC ID: 8729102843 Enrollment ID: I20100826000421 |
Provider Name | Aimee Michele Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992004824 PECOS PAC ID: 4486822038 Enrollment ID: I20110726000385 |
Provider Name | Desiree Roa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477714442 PECOS PAC ID: 5496924045 Enrollment ID: I20110816000571 |
Provider Name | Brandon Lee Maroney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366726812 PECOS PAC ID: 8123291820 Enrollment ID: I20111025000282 |
Provider Name | Brandon K Moore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396908430 PECOS PAC ID: 0840469052 Enrollment ID: I20111123000680 |
Provider Name | Kathleen J Locker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578698270 PECOS PAC ID: 4082696968 Enrollment ID: I20120123000063 |
Provider Name | Ashley L Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558652131 PECOS PAC ID: 1153599089 Enrollment ID: I20120730000695 |
Provider Name | Debra A Sharpe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760629547 PECOS PAC ID: 8426203944 Enrollment ID: I20130306000219 |
Provider Name | Gabriela P Orozco |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891968061 PECOS PAC ID: 0143475491 Enrollment ID: I20130313000044 |
Provider Name | Laura G Eaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629400064 PECOS PAC ID: 8921242025 Enrollment ID: I20130911000286 |
Provider Name | Celeste Harnden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316235997 PECOS PAC ID: 5092957712 Enrollment ID: I20140919001898 |
Provider Name | Whitney M Matchette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831504323 PECOS PAC ID: 0446576151 Enrollment ID: I20150223001666 |
Provider Name | Lynette A Medlen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740685668 PECOS PAC ID: 0042537441 Enrollment ID: I20150324001269 |
Provider Name | Jennifer A Lay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508254350 PECOS PAC ID: 4789901646 Enrollment ID: I20150402001864 |
Provider Name | Kerry Peete |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639530934 PECOS PAC ID: 8426341637 Enrollment ID: I20160726002112 |
Provider Name | Rebecca A Hawkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689026981 PECOS PAC ID: 6406142066 Enrollment ID: I20160907002236 |
Provider Name | Amy L Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326590175 PECOS PAC ID: 8123309358 Enrollment ID: I20170103000091 |
Provider Name | Mary R Mcnees |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043768435 PECOS PAC ID: 7719267426 Enrollment ID: I20170103001511 |
Provider Name | Klhee Bang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821532078 PECOS PAC ID: 2668753385 Enrollment ID: I20170111001324 |
Provider Name | Amy Renee Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083157788 PECOS PAC ID: 5496037236 Enrollment ID: I20170131001393 |
Provider Name | Kelly C Barnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235675943 PECOS PAC ID: 3779867262 Enrollment ID: I20170301000378 |
Provider Name | Alicia Jill Dunaway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881123214 PECOS PAC ID: 4486927217 Enrollment ID: I20170830001236 |
Provider Name | Jeanette M Mullane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265953350 PECOS PAC ID: 9537435755 Enrollment ID: I20171016002148 |
Provider Name | Amanda Jo Smith-rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275063257 PECOS PAC ID: 3870859408 Enrollment ID: I20171114002256 |
Provider Name | Vicky Hutson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548638356 PECOS PAC ID: 5193024362 Enrollment ID: I20180111002796 |
Provider Name | Sarah L Hood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932639317 PECOS PAC ID: 2062771918 Enrollment ID: I20180122002684 |
Provider Name | Joellen B Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447742259 PECOS PAC ID: 7911257761 Enrollment ID: I20180829001632 |
Provider Name | Jonathan F Coppenger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790270908 PECOS PAC ID: 8325398944 Enrollment ID: I20180831001772 |
Provider Name | Alexandra M Bowling |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1073996948 PECOS PAC ID: 5597063495 Enrollment ID: I20180905002536 |
Provider Name | Megan J Bode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194216184 PECOS PAC ID: 7719230838 Enrollment ID: I20181018002946 |
Provider Name | Krista Nicole Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477028256 PECOS PAC ID: 4385981018 Enrollment ID: I20190202000217 |
Provider Name | Kayla M Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306329818 PECOS PAC ID: 3173862380 Enrollment ID: I20190306001845 |
Provider Name | April Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184186751 PECOS PAC ID: 5890038541 Enrollment ID: I20190520002633 |
Provider Name | Christie L Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194293894 PECOS PAC ID: 3779821806 Enrollment ID: I20190717003683 |
Provider Name | Lauren Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528512340 PECOS PAC ID: 1254667728 Enrollment ID: I20190723000748 |
Provider Name | Rebecca Louise Beard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871957837 PECOS PAC ID: 4789017575 Enrollment ID: I20191210000247 |
Provider Name | Christy Bantong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598295826 PECOS PAC ID: 5799057188 Enrollment ID: I20200604003242 |
Provider Name | Aundrea L Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053930404 PECOS PAC ID: 7911328463 Enrollment ID: I20200609001165 |
Provider Name | Brittany L Crye |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043740558 PECOS PAC ID: 6103198437 Enrollment ID: I20200716003137 |
Provider Name | Jennifer Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649801994 PECOS PAC ID: 5496179145 Enrollment ID: I20200728001308 |
Provider Name | Hannah Gump |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144823121 PECOS PAC ID: 6507272770 Enrollment ID: I20210312001654 |
Provider Name | Lizzie L Monroe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417453713 PECOS PAC ID: 4284983131 Enrollment ID: I20210722002062 |
Provider Name | Courtney A Burleson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851066617 PECOS PAC ID: 8527464692 Enrollment ID: I20210915001982 |
Provider Name | Crystal L Tinch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790417624 PECOS PAC ID: 3870976855 Enrollment ID: I20220824001949 |
Provider Name | Jennifer Huffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083334593 PECOS PAC ID: 4183000599 Enrollment ID: I20221007000551 |
Provider Name | Alexis Jade Alley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346961166 PECOS PAC ID: 6507232402 Enrollment ID: I20221018001916 |
Provider Name | Ashley L Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184306847 PECOS PAC ID: 2961866397 Enrollment ID: I20230918003036 |
Provider Name | Amber Eaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215466735 PECOS PAC ID: 1759737042 Enrollment ID: I20231023002203 |
Medical Care Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Watauga Ave, Johnson City, TN 37601 Phone: 423-722-8446 Fax: 423-722-5674 | |
University Physicians Practice Group-etsu Family Medicine Johnson City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 | |
Wyche & Wyche, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Susannah St, Johnson City, TN 37601 Phone: 423-282-2542 Fax: 423-282-5447 | |
Imperial Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Lamons Ln Ste 230, Johnson City, TN 37604 Phone: 423-930-5168 Fax: 423-328-0193 | |
New Life Chiropractic And Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-4101 | |
State Of Franklin Healthcare Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2528 Wesley St, Suite 2, Johnson City, TN 37601 Phone: 423-794-2430 Fax: 423-283-9719 | |
Johnson City Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Knob Creek Rd Ste 404, Johnson City, TN 37604 Phone: 281-429-8526 |