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

Endoscopy Center of Northeast Tennessee, PC

Organization Ambulatory Surgical Clinic/Center · NPI 1164488219

Endoscopy Center of Northeast Tennessee, PC is an Ambulatory Surgical Clinic/Center 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.

See every abbreviation used in this directory →

Practice location Address checks out

310 N State Of Franklin Rd Ste 202
Johnson City, TN 37604-6008
Phone: (423) 929-7111
Fax: (423) 929-9448
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 0000000056 (TN)

Record details

NPI number1164488219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Penny Rutledge — Facility Administrator · (423) 929-7111
NPI enumeratedApril 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address310 N State Of Franklin Rd, Suite 202, Johnson City, TN 37604-6008

Other providers in Johnson City