Associated Neurologists of Kingsport

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ASSOCIATED NEUROLOGISTS OF KINGSPORT

Practice address

8 Sheridan SQ Ste 200
Kingsport, TN 37660-7479

Phone

(423) 247-5553

Fax

(423) 247-9254

NPI assigned

Sep 26, 2006

Last updated

May 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandy Jenkins

Title

Office Manager

Phone

(423) 247-5553

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Dew, M.D.

  • Neurology Physician
  • Kingsport, TN
  • NPI 1093701427
  Medicare reassignment Care Compare group NPD
• Otakar Krcal, MD

  • Neurology Physician
  • Kingsport, TN
  • NPI 1396868022
  Medicare reassignment Care Compare group NPD
• Tracie Price, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1295064798
  Medicare reassignment Care Compare group NPD
• Cara Stout

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1700320587
  Medicare reassignment Care Compare group NPD
• David K Garriott, MD

  • Neurology Physician
  • Kingsport, TN
  • NPI 1457494833
  NPD (past)
• Christopher A Pendola, M.D.

  • Neurology Physician
  • Kingsport, TN
  • NPI 1013018431
  NPD (past)
• Michael Jon Winsor, M.D.

  • Neurology Physician
  • Kingsport, TN
  • NPI 1649322504
  NPD (past)
• Douglas A Wright, M.D.

  • Neurology Physician
  • Kingsport, TN
  • NPI 1376644708
  NPD (past)
• Daniel Thomas Garber, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Concord, NC
  • NPI 1801997259
  NPD (past)
• Anthony E Holt, D.O.

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Savannah, GA
  • NPI 1134239049
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1083715338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607479",
            "telephone_number": "423-247-5553",
            "fax_number": "423-247-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607479",
            "telephone_number": "423-247-5553",
            "fax_number": "423-247-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED NEUROLOGISTS OF KINGSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-247-5553"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3701692",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Arwood, CRNA
• Ashton Asbury
• Asbury, Inc. (Asbury Place Kingsport)
• Issa Asfour, MD
• Nathaniel Frederick Ashley, MD
• Associated Orthopaedics of Kingsport PC
• Associated Orthopaedics of Kingsport PC
• Association of University Radiologists, PC (University Radiology)
• Emily Atwood, AUD
• Kimberly Michelle Austin, RN

• Neurology Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.