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

Mr. Johnny Dwayne Fraley, FNP

Individual provider Family Nurse Practitioner · NPI 1427666460

Mr. Johnny Dwayne Fraley, FNP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2020, 6 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
6
Licensed in
TN, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-6442
Fax: (423) 224-3689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 32564 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024179740 (VA)

Record details

NPI number1427666460
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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