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

Michael Bryanne Villalba

Individual provider Registered Nurse · NPI 1972121127

Michael Bryanne Villalba is a Nurse Practitioner in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2020, 6 years ago. Practices with Gastrointestinal Associates of Northeast Tennessee, PC, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

310 N State Of Franklin Rd Ste 202
Johnson City, TN 37604-6063
Phone: (423) 929-7111
Fax: (423) 929-9448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1021 Coolidge St Ste 2, Greeneville, TN 37743-4672 — (423) 929-7111
  • 1021 Coolidge St Ste 2, Greeneville, TN 37743-4672 — (423) 929-7111

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 29178 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 215795 (TN)

Record details

NPI number1972121127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2020
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2020 (6 years in practice)
Group practice Gastrointestinal Associates Of Northeast Tennessee, Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City