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

MS. Kalli Lyn Devecki, DO

Individual provider Surgery Physician · NPI 1639600653

MS. Kalli Lyn Devecki, DO is a General Surgery in Johnson City, Tennessee. Qualified in 2013, 13 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone: (423) 431-2460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 655 W 8th St, Jacksonville, FL 32209-6511 — (904) 383-1015

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 5255 (TN)
Surgery Physician Taxonomy 208600000X · Licence 5255 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639600653
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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