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

Dr. Dawn M Nuckolls, DO

Individual provider Internal Medicine Physician · NPI 1508120908

Dr. Dawn M Nuckolls, DO is an Internal Medicine in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2012, 14 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604
Phone: (423) 794-5520
Fax: (423) 282-0720
Show map & directions

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

Additional practice locations (1)

  • 917 W Market St, Johnson City, TN 37604-5330 — (423) 439-6464

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO2590 (TN)

Record details

NPI number1508120908
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing addressPo Box 632476, Cincinnati, OH 45263-2476

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2012 (14 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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