NPIMap

Organization Active NPI

Holston Medical Group, PC

Doing business as HMG Primary Care/Specialists at Johnson City

  • Sports Medicine (Internal Medicine) Physician
  • Johnson City, TN
National Provider Identifier
1205554664
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
HOLSTON MEDICAL GROUP, PC
Doing business as
HMG Primary Care/Specialists at Johnson City
Practice address
3019 Peoples Street
Condo 300
Johnson City, TN 37604
Phone
(423) 461-2100
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Audra Lawson
Title
Contract Analyst
Phone
(423) 857-2066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X Primary
Podiatrist 213E00000X

Addresses

Primary practice location

3019 Peoples Street
Condo 300
Johnson City, TN 37604

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066

Other names 1

  • HMG Primary Care/Specialists at Johnson City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sapling Grove Surgery C5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1205554664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 PEOPLES STREET",
            "address_2": "CONDO 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-461-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTON MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "CONTRACT ANALYST",
        "authorized_official_telephone_number": "423-857-2066"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMG Primary Care/Specialists at Johnson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.