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Contact Information

MELISSA A POWELL, MD
410 N STATE OF FRANKLIN RD
SUITE 130
JOHNSON CITY, TN37604-6971
 Phone: 423-431-2477
 Fax: 423-431-2478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MELISSA A POWELL · (Female)

NPI # 1053407809
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 02/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 31797
  • VA License # 0101236366
  • WV License # 16746
  • NC Medicaid 1053407809
  • TN Medicaid Q002848
  • VA Medicaid 1053407809
  • WV Medicaid 3004661000
  • WV Other P00358617 RAILROAD MEDICARE
Hospital affiliation(s)
  • D C H REGIONAL MEDICAL CENTER - (Acute Care)
    809 UNIVERSITY BOULEVARD EAST
    TUSCALOOSA, AL 35401
  • D C H REGIONAL MEDICAL CENTER - (Acute Care)
    809 UNIVERSITY BOULEVARD EAST
    TUSCALOOSA, AL 35401
  • ERLANGER MEDICAL CENTER - (Acute Care)
    975 E 3RD ST
    CHATTANOOGA, TN 37403
  • ERLANGER MEDICAL CENTER - (Acute Care)
    975 E 3RD ST
    CHATTANOOGA, TN 37403
  • JACKSON-MADISON COUNTY GENERAL HOSPITAL - (Acute Care)
    620 SKYLINE DRIVE
    JACKSON, TN 38301
  • JACKSON-MADISON COUNTY GENERAL HOSPITAL - (Acute Care)
    620 SKYLINE DRIVE
    JACKSON, TN 38301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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