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

Michael Cutshall, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255829396

Michael Cutshall, MD is a General Surgery in Johnson City, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2018, 8 years ago. Practices with Premier Surgical Associates PLLC, a 61-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Med Tech Pkwy Ste 405
Johnson City, TN 37604-4000
Phone: (423) 975-5650
Fax: (423) 975-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 67395 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255829396
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing addressPo Box 52948, Knoxville, TN 37950-2948

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Premier Surgical Associates Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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