BOONES CREEK MEDICAL PLLC – NPI #1871528976
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.

BOONES CREEK MEDICAL PLLC is a provider located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1871528976 to BOONES CREEK MEDICAL PLLC on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 6 years ago on Feb 13, 2020. 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 BOONES CREEK MEDICAL PLLC below.

NPI Profile for
BOONES CREEK MEDICAL PLLC

NPI Number
1871528976
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOONES CREEK MEDICAL PLLC
Primary location
2685 BOONES CREEK ROAD
SUITE 104
JOHNSON CITY, TN 37615
Phone: (423) 282-0636 Fax: (423) 282-1990
Mailing address
1000 W JACKSON BLVD STE 5
JONESBOROUGH, TN 37659-5397
Phone: (423) 282-1990 Fax: (423) 282-1990
Organization Subpart
No
Authorized Official
AMBER WILKINSON
OWNER/ADMINISTRATOR
Phone: (423) 282-0636
Updated
Certification Date
Feb 13, 2020

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 BOONES CREEK MEDICAL PLLC

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
MEDICAIDTN3735590
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)

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.