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

John M Waldron, PA

Individual provider Physician Assistant · NPI 1437584380

John M Waldron, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2013, 13 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

119 Boone Ridge Dr Ste 201
Johnson City, TN 37615-4998
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

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA (TN)

Record details

NPI number1437584380
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 11, 2013
Last updated in NPPESSeptember 11, 2013
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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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