Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Tennessee Medical Associates, PC

Organization Nephrology Physician · NPI 1619089034

East Tennessee Medical Associates, PC provides Nephrology Physician services in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Woodlawn Dr
Johnson City, TN 37604-5978 Not confirmed with CMS for 16 years — call before visiting
Phone: (423) 929-7158
Fax: (423) 928-9625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD6775 (TN)

Record details

NPI number1619089034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanley Vermillion — Vice-President · (423) 929-7158
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 13, 2010
Mailing address107 Woodlawn Dr, Johnson City, TN 37604-5978

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