HOLSTON MEDICAL GROUP PC NPI 1205554664

NPI Information

  • NPI: 1205554664
  • Provider Name: HOLSTON MEDICAL GROUP, PC
  • Classification: Internal Medicine - 207RS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • CLIA Number: 44D2145607
  • Address: 3019 PEOPLES STREET
    CONDO 300
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 461-2100

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NPI Details

HOLSTON MEDICAL GROUP, PC is a sports medicine internal medicine in Johnson City, TN. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. HOLSTON MEDICAL GROUP, PC NPI is 1205554664. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3019 PEOPLES STREET
CONDO 300
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 461-2100

The provider's authorized official is Audra Lawson .
The authorized official title is Contract Analyst and has the following contact phone number (423) 857-2066.

The CLIA number assigned to this NPI record is 44D2145607 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/19/2022 and was last updated on 8/19/2022.

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
1213E00000XPodiatristNo
2207RS0010XInternal MedicineSports MedicineYes

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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