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

State of Franklin Healthcare Associates PLLC

Organization Family Medicine Physician · NPI 1063459410

State of Franklin Healthcare Associates PLLC is a Family Medicine Physician 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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