MR. JOHNNY DWAYNE FRALEY (FNP) – Family Nurse Practitioner, NPI 1427666460

MR. JOHNNY DWAYNE FRALEY (FNP) is a healthcare provider. based in Gate city, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024179740 (VA). The NPI Number for MR. JOHNNY DWAYNE FRALEY (FNP) is 1427666460

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHNNY DWAYNE FRALEY (FNP)
NPI
1427666460
Phone
(276) 696-1539
Address
112 SHEFFIELD LN
Enumeration Date
15 July 2020
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232820751
Graduation Year
2020 (6 years ago)
PAC ID
8628029063
Group Practice PAC ID
8123291739
Professional Enrollment ID
I20230217001996
Address ID
TN376042361JO378XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MR. JOHNNY DWAYNE FRALEY (FNP)

  • 112 SHEFFIELD LN

    GATE CITY, VA 242515707

    Phone: (276) 696-1539

    Type: Mailing

  • 1905 AMERICAN WAY

    KINGSPORT, TN 376605882

    Phone: (423) 224-4000

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-2111

    Type: Mailing

  • 130 W RAVINE RD

    KINGSPORT, TN 376603837

    Phone: (423) 224-6442

    Fax: (423) 224-3689

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $2,487.

Total Amount is formed as General ($2,487) + Research ($0) + Ownership ($0) = $2,487.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($1,454).

Total Amount

$2,487

General + Research + Ownership

Payments

77

Total payment records

General Amount

$2,487

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200911002704INurse PractitionerVATBD
I20230217001996INurse PractitionerTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes277260$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report228212$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 24251)

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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: 8123291739View full group profile
NameSpecialtyState
-TN
-TN
General SurgeryMD
Pulmonary Disease, Internal MedicineTN
G A S T R O E N T E R O L O G YTN
N E U R O S U R G E R YIL
Nurse PractitionerTN
-TN
Physician AssistantKY
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What is MR. JOHNNY DWAYNE FRALEY (FNP)'s NPI number?
MR. JOHNNY DWAYNE FRALEY (FNP)'s NPI is 1427666460 — the number used across U.S. healthcare to identify this provider.
Would MR. JOHNNY DWAYNE FRALEY (FNP) appear as active to a payer?
You can treat MR. JOHNNY DWAYNE FRALEY (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. JOHNNY DWAYNE FRALEY (FNP)?
At a glance, MR. JOHNNY DWAYNE FRALEY (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. JOHNNY DWAYNE FRALEY (FNP) associated with Gate City?
Public fields place MR. JOHNNY DWAYNE FRALEY (FNP) around Gate City, Virginia. Always confirm the exact site before visiting.
Does MR. JOHNNY DWAYNE FRALEY (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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