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

State of Franklin Healthcare Associates PLLC

Organization Family Medicine Physician · NPI 1063459410

State of Franklin Healthcare Associates PLLC provides Family Medicine Physician services in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
9
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Boone Ridge Dr Ste 1002
Johnson City, TN 37615-4993
Phone: (423) 794-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Clinic/Center Taxonomy 261Q00000X
Radiology Clinic/Center Taxonomy 261QR0200X
Clinical Medical Laboratory Taxonomy 291U00000X (TN)

Record details

NPI number1063459410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Clear — Chief Executive Officer · (423) 794-2450
NPI enumeratedJune 1, 2006
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing addressPo Box 632476, Cincinnati, OH 45263-2476

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