NPIMap

Individual provider Active NPI

Chad Bates, M.D.

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1003926353
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43411 Issued in TN
Practice address
2033 Meadowview Lane
Suite 200 Holston Medical Group PC
Kingsport, TN 37660
Phone
(423) 857-2260
NPI assigned
Aug 30, 2006
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101241364 VA
Family Medicine Physician 207Q00000X 43411 TN Primary

Addresses

Primary practice location

2033 Meadowview Lane
Suite 200 Holston Medical Group PC
Kingsport, TN 37660

Mailing address

PO Box 9
HMG Credentialing
Kingsport, TN 37660

Other identifiers 2

IdentifierTypeStateIssuer
3001348MedicaidTN
1003926353MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000461 TN Practitioner - Family Practice 0941256234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians
Mountain Region Speech and Hearing CenterGroup PAC ID 8628003589, 17 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

2033 Meadowview LN
Suite 300
Kingsport, TN 37660-7433
Phone (423) 857-2260

301 Louis St
Kingsport, TN 37660-5195
Phone (423) 246-4600

322 Steeles Rd
Bristol, TN 37620-9532
Phone (423) 217-1360

350 Steeles Rd
Unit 1
Bristol, TN 37620-9532
Phone (423) 844-4925

4862 Dickenson Hwy
Clintwood, VA 24228-1810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43411TNMDFamily Medicine Physician
0101241364VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC Family Medicine CurrentSince May 19, 2008 Accepting new patients
Wellmont Physician Services Inc Family Medicine Past Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

Interoperability endpoints

  • Direct secure messaging: chadbates@hmgpath.allscriptsdirect.net

Organizations & group practices 4

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

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1003926353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "HMG CREDENTIALING",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEADOWVIEW LANE",
            "address_2": "SUITE 200 HOLSTON MEDICAL GROUP PC",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-857-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101241364",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "43411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001348",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003926353",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.