NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jeremy Nathan Elliott, DO

Family Medicine Physician in Johnson City, TN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124043120

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Jeremy Nathan Elliott
Credential DO
Sex Male
Practice address 301 Med Tech Pkwy Ste 240, Johnson City, TN, 37604
Fax (423) 282-6940
Enumeration date Jul 12, 2006
Last updated in NPPES Feb 18, 2025

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02971 (KY) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License DO1936 (TN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
P00855440 Other TN RR MCARE
Q003323 Medicaid TN -
1124043120 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jeremy Elliott?
The National Provider Identifier (NPI) for Jeremy Elliott is 1124043120, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jeremy Elliott practice?
The practice location on file with NPPES is in Johnson City, TN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-18.