JOSEPH C NANNEY (PA) – Physician Assistant, NPI 1093729709
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for JOSEPH C NANNEY (PA)
Blue Ridge Family Medicine, 101, Med Tech Parkway, Avondale Forest, Johnson City, Washington County, Tennessee, 37604, United States
SUITE 305
JOHNSON CITY, TN 376044007
Phone: (423) 926-6266
Fax: (423) 926-7599
Type: Location
Johnson City Post Office, 201, South Avenue G, Johnson City, Blanco County, Texas, 78636, United States
JOHNSON CITY, TN 376025576
Phone: (423) 926-6266
Fax: (423) 926-7599
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($32).
Total Amount
$125
General + Research + Ownership
Payments
7
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031222000181 | I | Physician Assistant | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 755 | 175 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 367 | 353 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 321 | 84 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 185 | 15 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 183 | 172 | $0 |
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Orthopedic Surgery | TN | |
| Family Practice | TN | |
| Family Practice | TN | |
| Internal Medicine | TN | |
| Hospitalist, Internal Medicine | TN | |
| Sports Medicine, Orthopedic Surgery | TN | |
| Nurse Practitioner | TN |
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