KINGSPORT PRIMARY CARE, PC (NPI# 1023186145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023186145 |
| Entity Type | Organization |
| Organization Name | KINGSPORT PRIMARY CARE, PC |
| Practice Address |
1526 Bridgewater Ln Kingsport TN 37660-4106 |
| Practice Telephone | 4232460033 |
| Practice Fax Number | 4232450034 |
| Mailing Telephone | 4232460033 |
| Mailing Fax Number | 4232450034 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | SCOTT D MCLAIN (SUPERVISING PHYSICIAN) |
| Authorized Official Telephone | 4232460033 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD11895 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 2403604 | 01 |
| TN | MEDICARE PTAN | 3732429 | 01 |
| TN | 3732429 | 05 |
| Street Address |
1526 BRIDGEWATER LN |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285664839 | Scott D Mclain | Family Medicine | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 2006-07-03 |
| 1861015992 | Matthew Grimm | Nurse Practitioner | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 2020-05-23 |
| 1679074892 | Kingsport Primary Healthcare, LLC | Family Medicine | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730668575 | Kingsport Family Medical Care Pllc | Clinic/Center | 935 Wilcox Ct Ste 115, Kingsport, TN 37660-5170 | 2018-08-13 |
| 1801262795 | Carehere LLC | Clinic/Center | 1324 Midland Dr, Kingsport, TN 37664-3044 | 2015-08-14 |
| 1891109609 | Trinity Medical Services | Clinic/Center | 151 Wendover Dr, Kingsport, TN 37663-2655 | 2014-06-19 |
| 1912194028 | Holston Regional Alternative Medicine | Clinic/Center | 1303 E Center St, Kingsport, TN 37664-2444 | 2007-10-02 |
| 1871954628 | Friends In Need Health Center | Clinic/Center | 1105 W Stone Dr, Suite 2, Kingsport, TN 37660-2558 | 2016-03-08 |
| 1316228075 | Clinchfield Family Medicine, Pllc | Clinic/Center | 2204 Pavilion Dr, Suite 110, Kingsport, TN 37660-4657 | 2011-09-07 |
| 1679741532 | Holston Regional Comprehensive Medicine | Clinic/Center | 1303 E Center St, Kingsport, TN 37664-2444 | 2008-02-13 |
| 1639246101 | David H Franzus M D | Clinic/Center | 121 E Ravine Rd, Suite 700, Kingsport, TN 37660-3816 | 2006-11-29 |
| 1922171149 | Cynthia Poortenga, Md PC | Clinic/Center | 121 E Ravine Rd, Ste 900, Kingsport, TN 37660-3816 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
| 1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
| 1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.