Organization · Type 2 NPI

Emmaus Community Healthcare, PLLC

General Practice Physician · Piney Flats, TN

NPI number 1356379093 Active

Practice location

6419 Bristol Highway
Piney Flats, TN 37686

Call (423) 538-5202 Map

Fax (423) 538-8208

Mailing address

509 Medtech Pkwy
Johnson City, TN 37604

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NPI record

NPI: 1356379093
Entity type: Organization (Type 2)
Issued: Jun 29, 2006
Last updated: Oct 7, 2025
Status: Active

Other names

<unavail>
Dba: Piney Flats Urgent Care · doing business as
Dba: Piney Flats Urgent Care · doing business as

Authorized official

Dr. Charles L Backus, DO
Authorized Official
(423) 538-5202

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356379093

Emmaus Community Healthcare, PLLC's National Provider Identifier is 1356379093, issued on Jun 29, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Piney Flats, TN. The record was last updated on Oct 7, 2025.