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

Samardia Missick, MD

Individual provider Nephrology Physician · NPI 1720498777

Samardia Missick, MD is a Nephrology in Johnson City, Tennessee. Qualified in 2013, 13 years ago. Practices with East Tennessee Medical Associates, PC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
13
Licensed in
FL, TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287
Phone: (423) 929-7158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 0000059403 (TN)
Nephrology Physician Taxonomy 207RN0300X · Licence ME131895 (FL)

Record details

NPI number1720498777
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice East Tennessee Medical Associates, P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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