DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
NPI 1689134231
Family Medicine - Addiction Medicine in Johnson City, TN
NPI Status: Active since March 20, 2019
Contact Information
102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 588-9978
Fax: (423) 722-3401
- Organization
- Family Medicine
- Addiction Medicine
- Accepts Insurance
- CLIA Number: 44D2168541
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-01-2025
About DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
This page provides the complete NPI Profile along with additional information for Dragonfly Medical And Behavioral Health Professsional Corporation, a provider established in Johnson City, Tennessee operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1689134231 assigned on March 2019. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated March 2025. Dragonfly Medical And Behavioral Health Professsional Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1689134231
- Provider Legal Name
- DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 102 N BROADWAY ST JOHNSON CITY, TN 37601
- Location Phone
- (423) 588-9978
- Location Fax
- (423) 722-3401
- Mailing Address
- 216 QUAIL RUN CT JOHNSON CITY, TN 37601
- Mailing Phone
- (423) 525-7488
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2019
- Last Update Date
- 03-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2168541
- Facility Type
- Physician Office
- Certificate Effective Date
- July 02, 2023
- Certificate Expiration Date
- July 01, 2025
- Laboratory Director
- MATTHEW JOHN CAFFREY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dragonfly Medical And Behavioral Health Professsional Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 1 | 3 | 4 | 2 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 2 | 3 | 8 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 2 + 3 + 8 + 2 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1689134231 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134689730 | DRAGFONFLY WELLNESS CENTER Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1972734309 | DR. ALICIA MERIE CAFFREY Individual | Psychologist (Clinical) | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1215690441 | MS. MARNICHELLE KY BONOCAN CLAMOHOY RN Individual | Registered Nurse | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1063155364 | AUTUM WADE Individual | Peer Specialist | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9988 |
| 1689381691 | MICHAEL ZACHARY BROWN LPN Individual | Licensed Practical Nurse | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1124726583 | MRS. KRYSTAL STARR MERZ LPN Individual | Licensed Practical Nurse | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1336330596 | DR. MATTHEW JOHN CAFFREY MD/MPH Individual | Family Medicine (Addiction Medicine) | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1225716343 | LINDSAY HOPE SMITH Individual | Social Worker (Clinical) | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1245017235 | JACOB ELIZABETH PHILLIPS BSW Individual | Social Worker | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1972382760 | REBECCA FRAZIER LMSW Individual | Social Worker | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1033947759 | AUDRA OWENS LPN Individual | Licensed Practical Nurse | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1376299685 | KARA LOVEN KEENE PA-C Individual | Physician Assistant | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
| 1689490187 | MRS. CATHERINE JEAN PIERCE RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 102 N BROADWAY ST JOHNSON CITY, TN 37601 (423) 588-9978 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689134231, enumerated in the NPI registry as an "organization" on March 20, 2019
The provider is located at 102 N Broadway St Johnson City, Tn 37601 and the phone number is (423) 588-9978
This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D2168541 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 20, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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