Active NPI
Zachary Kegley, DO
- Family Medicine Physician
- Kingsport, TN
National Provider Identifier
1063153971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO5972
- Practice address
- 2033 Meadowview LN Ste 300
Kingsport, TN 37660-7433 - Phone
- (423) 857-2260
- Fax
- (423) 857-2261
- NPI assigned
- Apr 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO5972 | TN | Primary |
Addresses
Primary practice location
2033 Meadowview LN Ste 300
Kingsport, TN 37660-7433
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2260
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2033 Meadowview LN
Suite 300
Kingsport, TN 37660-7433
Phone (423) 857-2260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5972 | TN | MD | Clinical Social Worker |
| DO5972 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Family Medicine | Current | Accepting new patients |
Locations
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
2033 Meadowview Ln
Ste 300
Kingsport, TN 37660
Phone (423) 857-2260
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1831110667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1063153971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2260",
"fax_number": "423-857-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 MEADOWVIEW LN STE 300",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607433",
"telephone_number": "423-857-2260",
"fax_number": "423-857-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEGLEY",
"first_name": "ZACHARY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO5972",
"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 Aug 11, 2025; 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.