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

William Stacy Melvin, PA

Individual provider Physician Assistant · NPI 1275517054

William Stacy Melvin, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2003, 23 years ago. Practices with Campbell Clinic, PC, a 225-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3 Professional Park Dr Ste 21
Johnson City, TN 37604-6529
Phone: (423) 434-6300
Fax: (423) 434-6312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1608 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 1608 (TN)

Record details

NPI number1275517054
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johnson City