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

Watauga Lake Family Medicine PC

Organization Family Medicine Physician · NPI 1457548406

Watauga Lake Family Medicine PC provides Family Medicine Physician services in Butler, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

140 McQueen St
Butler, TN 37640 Not confirmed with CMS for 19 years — call before visiting
Phone: (423) 768-0195
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD0000041068 (TN)

Record details

NPI number1457548406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Miller — Business Manager · (336) 982-2158
NPI enumeratedOctober 3, 2007
Last updated in NPPESOctober 3, 2007
Mailing address138 N Fork New River Rd, Lansing, NC 28643-9130