Healthcare Provider Details

I. General information

NPI: 1427056597
Provider Name (Legal Business Name): JOHN APPLEGATE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 E VANN RD
GREENEVILLE TN
37743-7202
US

IV. Provider business mailing address

1021 W OAKLAND AVE STE 310
JOHNSON CITY TN
37604-2192
US

V. Phone/Fax

Practice location:
  • Phone: 423-278-1950
  • Fax: 423-278-1973
Mailing address:
  • Phone: 423-952-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3313
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: