Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnson City Urological Clinic, PC

Organization Pediatric Urology Physician · NPI 1578689253

Johnson City Urological Clinic, PC provides Pediatric Urology Physician services in Johnson City, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
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

2340 Knob Creek Rd Ste 720
Johnson City, TN 37604-2977 Not confirmed with CMS for 17 years — call before visiting
Phone: (423) 926-6112
Fax: (423) 434-0278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1578689253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Taylor — Owner · (423) 926-6112
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 19, 2009
Mailing address2340 Knob Creek Road, Suite 720, Johnson City, TN 37604-2977

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