Emergent Aco, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EMERGENT ACO, LLC

Practice address

2323 N John B Dennis Hwy
Kingsport, TN 37660-4771

Phone

(423) 857-2066

NPI assigned

Apr 29, 2022

Organization subpart

No

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

Authorized official

Name

Scott Fowler, MD, JD

Title

President

Phone

(423) 857-2066

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Brianna Lancaster, DO

  • Pediatrics Physician
  • Abingdon, VA
  • NPI 1841819265
  NPD
• Brenda Arlene Bentley, FNP

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1750525853
  NPD (past)

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1184369589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604771",
            "telephone_number": "423-857-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604771",
            "telephone_number": "423-857-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT ACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-857-2066",
        "authorized_official_credential": "MD, JD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Dawn Ellis, OTR/L
• Stefani Ellis, PMHNP-BC
• Stephen Lee Elsey, PA-C
• Lea Ann Elwood-Relyea, MSW
• Eric Douglas Emberton, M.D.
• Emeritus Corporation (Brookdale Rock Springs)
• Emeritus Corporation (Emeritus at Kingsport)
• Mark W Emery, MD
• Roxana Enache, PA-C
• Encompass Health Rehabilitation Hospital of Kingsport LLC (Encompass Health Rehabilitation Hospital of Kingsport)

• Multi-Specialty Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.