Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather L Coburn, PA-C

Individual provider Medical Physician Assistant · NPI 1932165545

Heather L Coburn, PA-C is a Physician Assistant in Johnson City, Tennessee. Qualified in 2004, 22 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2006
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

1019 W Oakland Ave Ste 1
Johnson City, TN 37604
Phone: (423) 915-5000
Fax: (423) 915-5045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 378 Marketplace Dr Ste 5, Johnson City, TN 37604-2361 — (423) 282-0751

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01205 (TN)

Record details

NPI number1932165545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2006
Last updated in NPPESJune 4, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johnson City