Kingsport Primary Care, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD11895 Issued in TN

Legal business name

KINGSPORT PRIMARY CARE, PC

Practice address

1526 Bridgewater LN
Kingsport, TN 37660-4106

Phone

(423) 246-0033

Fax

(423) 245-0034

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Scott D McLain, MDNPI 1285664839

Title

Supervising Physician

Phone

(423) 246-0033

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott D McLain, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1285664839
  NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1023186145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-246-0033",
            "fax_number": "423-245-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-246-0033",
            "fax_number": "423-245-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "423-246-0033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD11895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732429",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3732429",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2403604",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingsport Family Chiropractic Clinic
• Kingsport Family Medical Care PLLC
• Kingsport Family Recovery Associates
• Kingsport NH Operations, LLC
• Kingsport Plastic Surgery, PC
• Kingsport Primary Healthcare, LLC
• Kingsport Psychiatric Services
• Kingsport Psychiatry & Counseling Services, PLLC
• Kingsport Senior House, LLC
• Kingsport TN Ophthalmology ASC LLC

• Primary Care Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.