Individual provider Active NPI

Kihley Annette Bellamy, FNP-C

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1194614024
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39126 Issued in TN
Practice address
1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone
(423) 830-0516
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 39126 TN Primary

Addresses

Primary practice location

1797 Fort Henry Dr
Kingsport, TN 37664-3226

Mailing address

1797 Fort Henry Dr
Kingsport, TN 37664-3226

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023001481 TN Practitioner - Nurse Practitioner 0042708851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
39126TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 17, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 17, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 25, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 25, 2026 Accepting new patients

Locations

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

Organizations & group practices 4

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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1194614024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643226",
            "telephone_number": "423-830-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "KIHLEY",
        "middle_name": "ANNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.