Individual provider Active NPI

Mirle R. Girish, M.D.

  • Pulmonary Disease Physician
  • Kingsport, TN
National Provider Identifier
1205872876
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35140 Issued in TN
Practice address
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone
(423) 224-4000
NPI assigned
Jun 21, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101241114 VA
Internal Medicine Physician 207R00000X 35140 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35140 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101241114 VA
Pulmonary Disease Physician 207RP1001X 35140 TN Primary
Pulmonary Disease Physician 207RP1001X 0101241114 VA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101241114 VA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 34140 TN

Addresses

Primary practice location

130 W Ravine Rd
Kingsport, TN 37660-3837

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

111 W Stone Dr Ste 100
Kingsport, TN 37660-6027
Phone (423) 247-5197

Other practice location 2

2000 Brookside Dr Fl 7
Kingsport, TN 37660-4627
Phone (423) 857-7011

Other practice location 3

2205 Pavilion Dr
Suite 201B
Kingsport, TN 37660-4641
Phone (423) 857-7650

Other practice location 4

1 Medical Park Blvd Ste 2W
Bristol, TN 37620-7430
Phone (423) 844-4444

Other practice location 5

1980 Holton Ave E Ste 204
Big Stone Gap, VA 24219-3367
Phone (276) 523-8703

Other identifiers 5

IdentifierTypeStateIssuer
1205872876MedicaidVA
7100113230MedicaidKY
3865759MedicaidTN
1530376MedicaidTN
3865758MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061011000389 TN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 8325044514 Reassigns benefits to 2 organizations
I20170627001895 VA Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Internal Medicine 8325044514 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Kingsport, TN 37660-3365
Phone (423) 857-2793

111 W Stone Dr
Suite 110
Kingsport, TN 37660-6027
Phone (423) 224-3701

121 Advanced Technology Dr
Suite C
Duffield, VA 24244-5126
Phone (276) 431-7593

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34140TNMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Medical Education Assistance Corporation Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Sleep Medicine CurrentSince Jun 1, 2017 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Holston Medical Group PC Internal Medicine CurrentSince Nov 20, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2012 Accepting new patients
Pulmonary Associates of East Tennessee, P.C. Pulmonary Disease Current Accepting new patients
Allergy Associates, P.a. Past Accepting new patients
Romaker and Associates, PC Pulmonary Disease Past Accepting new patients
Tennessee Critical Care Services, Inc Critical Care Medicine Past Accepting new patients

Locations (25 of 29)

181 Dunlap Rd
Blountville, TN 37617
Phone (423) 323-7112

1 Medical Park Blvd
Ste 2W
Bristol, TN 37620
Phone (423) 844-1121

320 Bristol West Blvd
Ste 1C
Bristol, TN 37620
Phone (423) 884-1390

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1497 W Elk Ave
Ste 22B
Elizabethton, TN 37643
Phone (423) 547-3380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

310 N State of Franklin Rd
Ste 303
Johnson City, TN 37604
Phone (423) 926-8181

325 N State of Franklin Rd
Fl 2
Johnson City, TN 37604
Phone (423) 439-7280

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

105 W Stone Dr
Ste 1J
Kingsport, TN 37660
Phone (423) 378-7654

105 W Stone Dr
Ste 2C
Kingsport, TN 37660
Phone (423) 230-4190

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

2000 Brookside Dr
Fl 7
Kingsport, TN 37660
Phone (423) 857-7011

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

2205 Pavilion Dr
Ste 201B
Kingsport, TN 37660
Phone (423) 857-7650

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1980 Holton Ave E
Ste 204
Big Stone Gap, VA 24219
Phone (276) 523-8703

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1205872876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "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": "376603837",
            "telephone_number": "423-224-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Stone Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-247-5197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr Fl 7",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Pavilion Dr",
            "address_2": "Suite 201B",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604641",
            "country_code": "US",
            "telephone_number": "423-857-7650",
            "fax_number": "423-857-7655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd Ste 2W",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Holton Ave E Ste 204",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193367",
            "country_code": "US",
            "telephone_number": "276-523-8703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRISH",
        "first_name": "MIRLE",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101241114",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35140",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "35140",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101241114",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "35140",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101241114",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101241114",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "34140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "7100113230",
            "state": "KY"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3865759",
            "state": "TN"
        },
        {
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        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.