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

Eustacia L Pratt, MD

Individual provider Family Medicine Physician · NPI 1114977972

Eustacia L Pratt, MD is a Family Practice in Johnson City, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 1997, 29 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
29
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2006
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

400 N State Of Franklin Rd Ipc Hospitalist
Johnson City, TN 37604-6035
Phone: (423) 282-1480
Fax: (423) 928-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD32135 (TN)
Hospitalist Physician Taxonomy 208M00000X · Licence 32135 (TN)

Record details

NPI number1114977972
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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