Douglas Carroll, PA-C

Individual Active
NPI 1649428277
Medical Physician Assistant Johnson City, TN

NPI 1649428277 belongs to Douglas Carroll, PA-C, a medical physician assistant with a practice location in Johnson City, TN. The NPI was issued on September 8, 2008, and the record was last updated in NPPES on September 30, 2025. The record lists 4 taxonomy codes. 3 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 3434 (TN)
Physician Assistant 363A00000X 0010-01521 (NC)
Physician Assistant 363A00000X 3434 (TN)
Surgical Physician Assistant 363AS0400X 3434 (TN)

Practice locations

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
340 Steeles Rd
Bristol, TN 37620
Phone: (423) 282-9011
800 S Mohawk Dr Ste C
Erwin, TN 37650-2124
Phone: (423) 735-4750
875 Larry Neil Way
Kingsport, TN 37660-6368
Phone: (423) 282-9570

Local context

Active NPPES records list 54 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 643 in Tennessee and 40,084 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. Douglas John Carroll
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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