Justin Mizelle, PA-C

Individual Active
NPI 1356623391
Medical Physician Assistant Johnson City, TN

NPI 1356623391 belongs to Justin Mizelle, PA-C, a medical physician assistant with a practice location in Johnson City, TN. The NPI was issued on September 15, 2011, and the record was last updated in NPPES on March 17, 2018. One additional practice location is listed.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 2025 (TN)

Practice locations

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (888) 632-1085
301 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2364
Phone: (423) 794-1300

Local context

Active NPPES records list 53 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 35 of them within 10 miles.

The same primary taxonomy is listed by 638 in Tennessee and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Justin T Mizelle
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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