OCTAVIA LYNNE FLANAGAN (RN, PHD) – Women's Health Nurse Practitioner, NPI 1083045074

Women's Health Nurse Practitioner

OCTAVIA LYNNE FLANAGAN (RN, PHD) is a healthcare provider. based in Johnson city, Tennessee. specializing in Women's Health Nurse Practitioner. They hold the professional credentials RN, PHD. They hold a License No. 421379 (NY). The NPI Number for OCTAVIA LYNNE FLANAGAN (RN, PHD) is 1083045074

Main info

Female

30 Years Of Experience

Accepts Medicare Assignment

Name

OCTAVIA LYNNE FLANAGAN (RN, PHD)

NPI

1083045074

Phone

(423) 926-2500

Address

2151 CENTURY LN

Enumeration Date

2 December 2013

Last Update Date

24 November 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6074381200

Graduation Year

1996 (30 years ago)

PAC ID

8729397724

Group Practice PAC ID

0840450748

Professional Enrollment ID

I20190408001846

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for OCTAVIA LYNNE FLANAGAN (RN, PHD)

2151 CENTURY LN
JOHNSON CITY, TN 376044469
Phone: (423) 926-2500
Fax: (423) 926-5999
Type: Location
2151 Century Ln
Johnson City, TN 376044469
Phone: (423) 926-2500
Fax: (423) 926-5999
Type: Location
571 SAINT JOSEPHS BLVD
FL 2
ELMIRA, NY 149013230
Phone: (607) 271-2050
Type: Mailing
600 FITCH ST STE 102
ELMIRA, NY 149051634
Phone: (607) 734-6544
Fax: (607) 734-6580
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0840450748View full group profile

Name	Specialty	State
DEBORAH WADE (CNM)	-	NY
NCHE ZAMA (MD)	-	NY
DR. KALYANI R TRIVEDI (MD)	-	OH
DR. KAY KELTS (DO)	Family Practice	IL
MR. ZACHARY D FLEISCHNER (MD)	Internal Medicine, Infectious Disease	NY
DR. KEITH W. PARKER (MD)	Internal Medicine	NY
DR. RANDOLPH PATRICK SCOTT (M.D., PHARM.D.)	-	NJ
MRS. ALLISON DHAENE (P.A.)	Physician Assistant	NY
GLENDENA T TAYLOR (FNP)	-	NY
SARAH LYNNE YORKE (PA-C)	Physician Assistant	NY

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Frequently asked questions

Can I verify OCTAVIA LYNNE FLANAGAN (RN, PHD) with an NPI only?

You can start verification with NPI 1083045074 for OCTAVIA LYNNE FLANAGAN (RN, PHD), then check state licensing separately.

Is OCTAVIA LYNNE FLANAGAN (RN, PHD) listed as active for patients and plans?

The listing shows OCTAVIA LYNNE FLANAGAN (RN, PHD) as active in the NPI system.

What is OCTAVIA LYNNE FLANAGAN (RN, PHD)'s primary classification?

Women's Health Nurse Practitioner is the headline specialty for OCTAVIA LYNNE FLANAGAN (RN, PHD) here. Clinical services aligned with this taxonomy classification.

Where is OCTAVIA LYNNE FLANAGAN (RN, PHD) based?

OCTAVIA LYNNE FLANAGAN (RN, PHD) is tied to Johnson City, Tennessee in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.

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