Active NPI
Jeremy S Adkins, N.P.
- Adult Health Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 24556
- Practice address
- 2204 Pavilion Dr Ste 300
Kingsport, TN 37660-4653 - Phone
- (423) 246-4155
- Fax
- (423) 246-7169
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200830 | TN | |
| Nurse Practitioner | 363L00000X | 12062377 | TN | |
| Adult Health Nurse Practitioner | 363LA2200X | 24556 | TN | Primary |
Addresses
Primary practice location
2204 Pavilion Dr Ste 300
Kingsport, TN 37660-4653
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653
Phone (423) 246-4155
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181222000244 | TN | Practitioner - Nurse Practitioner | 8123363975 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200830 | TN | MD | Registered Nurse |
| 12062377 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Holston Medical Group PC | Nurse Practitioner | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Physician Services PC | Nurse Practitioner | Current | Accepting new patients |
| Wellmont Health System | Current | Accepting new patients |
Locations
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
302 Wesley St
Ste 3
Johnson City, TN 37601
Phone (423) 202-3772
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
2340 Knob Creek Rd
Ste 720
Johnson City, TN 37604
Phone (423) 926-6112
2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- jadkins199544@balladhealth.medalliesdirect.net
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Nurse Practitioner, TN
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1831110667
Nurse Practitioner, TN
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Nurse Practitioner, TN
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rogersville, TN
- NPI 1174553598
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmont Medical Associates Inc
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 578-8500
2204 Pavilion Dr
Suite 110
Kingsport, TN 37660-4651
Phone (423) 224-2369
Hospital & facility affiliations
- Indian Path Community Hospital
- Wellmont Holston Valley Medical Center
- Hawkins County Memorial Hospital
- Wellmont Bristol Regional Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1043797970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 PAVILION DR STE 300",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604653",
"telephone_number": "423-246-4155",
"fax_number": "423-246-7169"
}
],
"practiceLocations": [
{
"address_1": "2204 Pavilion Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376604653",
"country_code": "US",
"telephone_number": "423-246-4155",
"fax_number": "423-246-7169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADKINS",
"first_name": "JEREMY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "200830",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "12062377",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "24556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.