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

Phillip J Riley, DPM

Individual provider Podiatrist · NPI 1043284391

Phillip J Riley, DPM is a Podiatry in Johnson City, Tennessee. Qualified in 1997, 29 years ago. Practices with State of Franklin Healthcare Associates, PLLC, a 265-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
29
Licensed in
TN
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

301 Med Tech Pkwy Ste 106
Johnson City, TN 37604-2631
Phone: (423) 434-6410
Fax: (423) 232-8576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 301 Med Tech Pkwy Ste 120, Johnson City, TN 37604-2631 — (423) 794-5590
  • 303 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2392 — (423) 282-5611

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence MD653 (TN)

Record details

NPI number1043284391
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing addressPo Box 632476, Cincinnati, OH 45263-2476

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice State Of Franklin Healthcare Associates, Pllc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City