Individual provider Active NPI

Kristin Bounds Righi, PA-C

  • Physician Assistant
  • Johnson City, TN
National Provider Identifier
1154809622
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3615 Issued in TN
Practice address
3 Professional Park Dr Ste 21
Johnson City, TN 37604
Phone
(423) 434-6300
Fax
(423) 434-6312
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006306 VA
Physician Assistant 363A00000X 0010-08196 NC
Physician Assistant 363A00000X 3615 TN Primary

Addresses

Primary practice location

3 Professional Park Dr Ste 21
Johnson City, TN 37604

Mailing address

3 Professional Park Dr Ste 21
Johnson City, TN 37604-6529
Phone (423) 434-6300

Other practice location 1

4500 Stuart St
Columbia, SC 29207-5700
Phone (770) 357-2400 ext. 129

Other practice location 2

4500 Stuart St
Columbia, SC 29207-5700
Phone (770) 357-2400 ext. 129

Other identifiers 1

IdentifierTypeStateIssuer
Q046984MedicaidTN

Other names 1

  • Kristin Bounds Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181203001263 TN Practitioner - Physician Assistant 9032453055 Reassigns benefits to 2 organizations
I20260428001126 TX Practitioner - Physician Assistant 9032453055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone (423) 830-0516

1800 W Market St
Johnson City, TN 37604-6023
Phone (931) 253-1110

4307 N Roan St
Johnson City, TN 37615-4973
Phone (423) 491-5222

805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3615TNMDPharmacist
0010-08196NCMDPhysician Assistant
0110006306VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 20, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 20, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 20, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 20, 2021 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

Interoperability endpoints

  • Direct secure messaging: kristin.righi.1@1054.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1154809622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR STE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-434-6300",
            "fax_number": "423-434-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR STE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-434-6300",
            "fax_number": "423-434-6312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Stuart St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075700",
            "country_code": "US",
            "telephone_number": "770-357-2400 x129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Stuart St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075700",
            "country_code": "US",
            "telephone_number": "770-357-2400 x129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGHI",
        "first_name": "KRISTIN",
        "middle_name": "BOUNDS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006306",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08196",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046984",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BOUNDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.