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

Alyssa Nunn, PA

Individual provider Medical Physician Assistant · NPI 1679384721

Alyssa Nunn, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2024, 2 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

303 Med Tech Pkwy Ste 220B
Johnson City, TN 37604-2391
Phone: (423) 232-8301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 — (423) 232-8301
  • 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 — (423) 578-1518

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6486 (TN)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1679384721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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