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

Dr. Marc A. Fagelson, PHD, CCC-A

Individual provider Audiologist · NPI 1760413116

Dr. Marc A. Fagelson, PHD, CCC-A is a Qualified Audiologist in Johnson City, Tennessee. Qualified in 1995, 31 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
31
Licensed in
TN
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

156 S Dossett Dr
Johnson City, TN 37614
Phone: (423) 439-4355
Fax: (423) 439-4607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1000 Jason Witten Way, Elizabethton, TN 37643-2970 — (423) 439-4355
  • 2151 Century Lane, Johnson City, TN 37604-4469 — (423) 926-2500
  • 807 University Pkwy, Johnson City, TN 37614-1702 — (423) 439-4515

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 0000001136 (TN)

Record details

NPI number1760413116
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , CCC-A
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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