Individual provider Active NPI

Steven J McLaughlin, PA

  • Surgical Physician Assistant
  • Kingsport, TN
National Provider Identifier
1033156807
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA0000000609 Issued in TN
Practice address
444 Clinchfield St Ste 103
Kingsport, TN 37660-3859
Phone
(423) 578-1518
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0000000609 TN
Surgical Physician Assistant 363AS0400X PA0000000609 TN Primary

Addresses

Primary practice location

444 Clinchfield St Ste 103
Kingsport, TN 37660-3859

Mailing address

444 Clinchfield St Ste 103
Kingsport, TN 37660-3859
Phone (423) 578-1518

Other practice location 1

701 Med Tech Pkwy
Suite 300
Johnson City, TN 37604-2365
Phone (423) 232-8301

Other identifiers 1

IdentifierTypeStateIssuer
3667016MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090107000215 TN Practitioner - Physician Assistant 7214090042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813

444 Clinchfield St
Suite 103
Kingsport, TN 37660-3859
Phone (423) 578-1518

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
609TNMDSports Medicine (Physical Medicine & Rehabilitation) Physician
PA0000000609TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2018 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporaiton CurrentSince Jul 1, 2018 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

701 Med Tech Pkwy
Ste 300
Johnson City, TN 37604
Phone (423) 232-8301

444 Clinchfield St
Ste 103
Kingsport, TN 37660
Phone (423) 548-1518

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1033156807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 CLINCHFIELD ST STE 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603859",
            "telephone_number": "423-578-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 CLINCHFIELD ST STE 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603859",
            "telephone_number": "423-578-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Med Tech Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042365",
            "country_code": "US",
            "telephone_number": "423-232-8301",
            "fax_number": "423-232-8304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000000609",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA0000000609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3667016",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.