CRAIG MATHERNE MD – NPI #1215965710
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CRAIG MATHERNE is a physician located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1215965710 to CRAIG MATHERNE on June 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Feb 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRAIG MATHERNE below.

NPI Profile for
CRAIG MATHERNE

NPI Number
1215965710
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CRAIG MATHERNE
Credentials
MD
Primary location
301 MED TECH PKWY
STE 240
JOHNSON CITY, TN 37604
Phone: (423) 794-5520 Fax: (423) 282-6940
Mailing address
PO BOX 632476
CINCINNATI, OH 45263-2476
Phone: (423) 794-5520 Fax: (423) 282-6940
Sole Proprietor
No
Updated
Certification Date
Feb 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CRAIG MATHERNE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAL LICENSETN30967
medicaidLA1558729
medicaidTN1532440
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 TN 30967

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT - Graduated 1996
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CRAIG MATHERNE is affiliated with the following medical group(s):
  • HOSPITAL
    • JOHNSON CITY MEDICAL CENTER
      400 N STATE OF FRANKLIN RD
      JOHNSON CITY, TN 37604
    • WELLMONT BRISTOL REGIONAL MEDICAL CENTER
      ONE MEDICAL PARK BLVD
      BRISTOL, TN 37620
  • HOME HEALTH AGENCY
    • AMEDISYS HOME HEALTH
      2913 BOONES CREEK RD STE 6
      JOHNSON CITY, TN 37615
    • KINDRED AT HOME
      2004 AMERICAN WAY SUITE 121
      KINGSPORT, TN 37660

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
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