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

Mr. Ethan Marshall Morelock, PA-C

Individual provider Physician Assistant · NPI 1285455139

Mr. Ethan Marshall Morelock, PA-C is a Physician Assistant in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2024, 2 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2024
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

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone: (423) 794-5520
Fax: (423) 282-6940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6965 Cumberland Gap Parkway, Harrogate, TN 37752 — (423) 869-3611

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6242 (TN)

Record details

NPI number1285455139
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2024 (2 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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