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

Michael David Smith, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1003819707

Michael David Smith, NURSEPRACTITIONER is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2003, 23 years ago. Practices with Holston Medical Group PC, a 242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Licensed in
TN
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

3019 Peoples St # CONDO300
Johnson City, TN 37604-1977
Phone: (423) 461-2100
Fax: (423) 461-2199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 East Main Street, Johnson City, TN 37601-4877 — (423) 929-2584

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN7641 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence APN7641 (TN)

Record details

NPI number1003819707
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City