DR. STANLEY EUGENE VERMILLION MD NPI 1699779629

NPI Information

  • NPI: 1699779629
  • Provider Name: DR. STANLEY EUGENE VERMILLION, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 107 WOODLAWN DR
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 929-7158

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NPI Details

DR. Stanley Eugene Vermillion, MD is a nephrology internal medicine in Johnson City, TN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Stanley Eugene Vermillion, MD NPI is 1699779629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

107 WOODLAWN DR
JOHNSON CITY, TN
ZIP 37604-978
Phone: (423) 929-7158
Fax: (423) 928-9625

The enumeration date for this NPI number is 6/8/2005 and was last updated on 12/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyMD6775TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13149098MEDICAIDTENNESSEE
2B02219MEDICARE UPINTENNESSEE
33149099MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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