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

Cory Callahan, PA-C

Individual provider Physician Assistant · NPI 1932647112

Cory Callahan, PA-C is a Physician Assistant in Johnson City, Tennessee. Qualified in 2016, 10 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine and Tennessee.

Years since qualifying
10
Licensed in
ME, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

410 N State Of Franklin Rd Ste 140
Johnson City, TN 37604-6972
Phone: (423) 431-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 417 State St, Suite 340, Bangor, ME 04401 — (207) 973-4949
  • 378 Marketplace Blvd Ste 5, Johnson City, TN 37604-2361 — (423) 282-0751

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5089 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA1675 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 5089 (TN)

Record details

NPI number1932647112
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2017
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City