Anthony M. Kingsley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21300 Issued in TN

Practice address

163 Perkins LN
Jacksboro, TN 37757-2833

Phone

(423) 500-9140

Fax

(423) 435-0828

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smokey Mountain Medical LLC

  • Family Nurse Practitioner
  • Jacksboro, TN
  • NPI 1902627169

  Family, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298

  TN

  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Maryville, TN
  • NPI 1255572574
  NPD
• Summit Medical Group PLLC

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group,PLLC

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Campbell County Hma, LLC

  • General Acute Care Hospital
  • Lafollette, TN
  • NPI 1639151301

  Hospital

  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Tazewell, TN
  • NPI 1639149586
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smokey Mountain Medical LLC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1003267865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PERKINS LN",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572833",
            "telephone_number": "423-500-9140",
            "fax_number": "423-435-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PERKINS LN",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572833",
            "telephone_number": "423-500-9140",
            "fax_number": "423-435-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksboro Urgent Care
• Daniel Howard Johnson, PHARMACIST
• Jessica Johnson, RN,BSN
• Tammy R Jones
• Jeanette Marie Keith
• Kayla Kuszlyk
• Lafollette Health Clinic Inc
• Lindsey Lundquist, FNP-BC
• Michele O Lynch, RN
• Mark a.Collins

• All providers in Jacksboro, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.