HOLSTON MEDICAL GROUP PC NPI 1831110667

NPI Information

NPI: 1831110667
Provider Name: HOLSTON MEDICAL GROUP PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 44D0993720
Address: 105 W STONE DR
3A
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-6200

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NPI Details

HOLSTON MEDICAL GROUP PC is a family medicine in Kingsport, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOLSTON MEDICAL GROUP PC NPI is 1831110667. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 W STONE DR
3A
KINGSPORT, TN
ZIP 37660-256
Phone: (423) 392-6200
Fax: (423) 392-6583

The provider's authorized official is Shawna Armstrong .
The authorized official title is Cfo and has the following contact phone number (423) 857-2066.

The CLIA number assigned to this NPI record is 44D0993720 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/21/2006 and was last updated on 11/6/2025.

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	Primary
1	208000000X	Pediatrics		No
2	208600000X	Surgery		No
3	208M00000X	Hospitalist		No
4	363L00000X	Nurse Practitioner		No
5	332B00000X	Durable Medical Equipment & Medical Supplies		No
6	2080P0206X	Pediatrics	Pediatric Gastroenterology	No
7	207V00000X	Obstetrics & Gynecology		No
8	207R00000X	Internal Medicine		No
9	207X00000X	Orthopaedic Surgery		No
10	104100000X	Social Worker		No
11	208100000X	Physical Medicine & Rehabilitation		No
12	207Y00000X	Otolaryngology		No
13	2085B0100X	Radiology	Body Imaging	No
14	363A00000X	Physician Assistant		No
15	207Q00000X	Family Medicine		Yes

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
1	3720182	MEDICAID	TENNESSEE
2	3720183	MEDICAID	TENNESSEE
3	3720184	MEDICAID	TENNESSEE
4	3720181	MEDICAID	TENNESSEE

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

NPI Synchronization or Removal

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