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

East Tennessee Medical Associates, PC

Organization Nephrology Physician · NPI 1619089034

East Tennessee Medical Associates, PC is a Nephrology Physician 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
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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