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

Dr. Ryan Andrew Hackett, MD

Individual provider Family Medicine Physician · NPI 1710140249

Dr. Ryan Andrew Hackett, MD is a Family Practice in Elizabethton, Tennessee. Graduated from Ohio State University College of Medicine in 2008, 18 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Nebraska and Tennessee.

Years since qualifying
18
Trained at
Ohio State University College of Medicine
Licensed in
NE, TN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1505 W Elk Ave Ste 2
Elizabethton, TN 37643-2848
Phone: (423) 543-1261
Fax: (423) 543-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1497 W Elk Ave Ste 21, Elizabethton, TN 37643 — (423) 547-7420

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52415 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25511 (NE)

Record details

NPI number1710140249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2008
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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