Individual provider Active NPI

Jeremy S Adkins, N.P.

  • Adult Health Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1043797970
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
24556 Issued in TN
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

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
200830TNMDRegistered Nurse
12062377TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Mar 31, 2024 Accepting new patients
Holston Medical Group PC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner CurrentSince Mar 31, 2024 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Apr 22, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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 432 clinicians

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 Hospital, Kingsport, TN, CCN 440176
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

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

Verify at the official NPI Registry.