Healthcare Provider Details

I. General information

NPI: 1841155280
Provider Name (Legal Business Name): APPALACHIAN NEONATAL CARE ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6035
US

IV. Provider business mailing address

147 BLACK THORN DR
JONESBOROUGH TN
37659-4793
US

V. Phone/Fax

Practice location:
  • Phone: 423-431-6466
  • Fax:
Mailing address:
  • Phone: 423-328-6871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DARSHAN S SHAH
Title or Position: OWNER
Credential: MD
Phone: 423-328-6871