Individual provider · Type 1 NPI

Douglas John Carroll, PA-C

Medical Physician Assistant · Johnson City, TN

NPI number 1649428277 Active

Practice location

2410 Susannah St
Johnson City, TN 37601-1748

Call (423) 282-9011 Map

Other practice locations

  • 340 Steeles Rd, Bristol, TN 37620 · (423) 282-9011
  • 800 S Mohawk Dr Ste C, Erwin, TN 37650-2124 · (423) 735-4750
  • 875 Larry Neil Way, Kingsport, TN 37660-6368 · (423) 282-9570

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3434 (TN)
Physician Assistant 363A00000X0010-01521 (NC)
Physician Assistant 363A00000X3434 (TN)
Surgical Physician Assistant 363AS0400X3434 (TN)

Medical Physician Assistant: Definition to come...

68 other providers at this address

Other medical physician assistant providers in Johnson City

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About NPI 1649428277

Douglas John Carroll, PA-C's National Provider Identifier is 1649428277, issued on Sep 8, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Johnson City, TN. The record was last updated on Sep 30, 2025.