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

Foundation Medical, Inc

Organization Addiction Medicine (Family Medicine) Physician · NPI 1336636158

Foundation Medical, Inc is an Addiction Medicine (Family Medicine) Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1730 Old Gray Station Rd
Johnson City, TN 37615-3869
Phone: (423) 202-3008
Fax: (423) 202-7835
Show map & directions

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

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 1000000022019 (TN)

Record details

NPI number1336636158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Good — Facility Director/Owner · (423) 202-3008
NPI enumeratedApril 17, 2018
Last updated in NPPESJuly 24, 2019
Mailing address1730 Old Gray Station Rd, Johnson City, TN 37615-3869

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