Active NPI
John D. Creasy, M.D.
- Diagnostic Radiology Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 31555
- Practice address
- 130 W Ravine Rd
Kingsport, TN 37660-3810 - Phone
- (423) 968-1144
- Fax
- (423) 968-3453
- NPI assigned
- Aug 10, 2005
- Last updated
- Oct 8, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2026013073 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD-56687 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 81937 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 31555 | TN | Primary |
Addresses
Primary practice location
130 W Ravine Rd
Kingsport, TN 37660-3810
Mailing address
3053 W State St
Bristol, TN 37620-1720
Phone (423) 968-1144
Other practice location 1
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551
Other practice location 2
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5300
Other practice location 3
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other practice location 4
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, CT, IA, ND, MO, NM, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Alabama School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10230 Enclave Cir
Concord, NC 28027-7841
Phone (319) 768-1170
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
336 Burtonwood Dr
Gastonia, NC 28054-4054
Phone (704) 867-8021
4739 Binfords Ridge Rd
Charlotte, NC 28226-4007
Phone (319) 364-0121
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172
Hospital & facility affiliations
- Caromont Regional Medical Center
- Mercy Medical Center - Cedar Rapids
- St Francis Hospital & Medical Center
- Scotland Memorial Hospital
- Columbus Regional Healthcare System
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-56687 | IA | MD | Diagnostic Radiology Physician |
| 81937 | MN | MD | Diagnostic Radiology Physician |
| 2026013073 | MO | MD | Diagnostic Radiology Physician |
| 31555 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Associates of New Mexico PC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Gaston Radiology PA | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Gaston Radiology | Diagnostic Radiology | Past | Accepting new patients |
Locations
1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677
1220 Spruce St
Belmont, NC 28012
Phone (704) 825-5333
209 Park St
Ste 300
Belmont, NC 28012
600 W Trade St
Ste B
Dallas, NC 28034
Phone (980) 834-9170
3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
336 Burtonwood Dr
Gastonia, NC 28054
Phone (704) 867-8021
620 Summit Crossing Pl
Ste 106
Gastonia, NC 28054
Phone (704) 864-4378
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
451 E Charlotte Ave
Mt Holly, NC 28120
Phone (980) 834-2266
159 E Dallas Rd
Stanley, NC 28164
Phone (704) 263-0300
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1356324487
-
dba SURGICAL ASSOCIATES of SCOTLAND
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
- Diagnostic Radiology Physician
- Cedar Rapids, IA
- NPI 1750387999
NC
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
NC
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1093723538
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
NC
-
dba Northern Illinois Radiologists
- Diagnostic Radiology Physician
- Freeport, IL
- NPI 1841244753
NC
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1124029244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 W STATE ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201720",
"telephone_number": "423-968-1144",
"fax_number": "423-968-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RAVINE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603810",
"telephone_number": "423-968-1144",
"fax_number": "423-968-3453"
}
],
"practiceLocations": [
{
"address_1": "500 E Market St",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452633",
"country_code": "US",
"telephone_number": "319-339-3551",
"fax_number": "319-887-2847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-248-5300",
"fax_number": "573-248-5302",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PO Box 5010",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587025010",
"country_code": "US",
"telephone_number": "701-418-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREASY",
"first_name": "JOHN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2026013073",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "MD-56687",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "81937",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "31555",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 8, 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.