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

Robert Koutsouvelis, MD

Individual provider Family Medicine Physician · NPI 1386217966

Robert Koutsouvelis, MD is a Family Practice in Johnson City, Tennessee. Qualified in 2021, 5 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

917 W Walnut St
Johnson City, TN 37604-6527
Phone: (423) 439-6464
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 208 Medical Park Blvd, Bristol, TN 37620-7343 — (423) 989-4050
  • 102 E Ravine Rd, Kingsport, TN 37660-3814 — (423) 245-9600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72059 (TN)

Record details

NPI number1386217966
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing addressPo Box 699, Mountain Home, TN 37684-0699

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City