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

Individual provider Physician Assistant · NPI 1497237416

Micah A McFaddin, PA-C is a Physician Assistant in Johnson City, Tennessee. Qualified in 2018, 8 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
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

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 722-0267
Fax: (423) 722-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 875 Larry Neil Way, Kingsport, TN 37660-6368 — (423) 722-0267

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3676 (TN)

Record details

NPI number1497237416
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johnson City