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

Justin Pettit, PA

Individual provider Surgical Physician Assistant · NPI 1841037272

Justin Pettit, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2024, 2 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
Specialties on file
2
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

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 340 Steeles Rd, Bristol, TN 37620-9532 — (423) 282-9011
  • 875 Larry Neil Way, Kingsport, TN 37660-6368 — (423) 245-5540

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6049 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1841037272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City