Individual provider Active NPI

Cory Lewis Holt, NP

  • Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1265059133
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27748 Issued in TN
Practice address
420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282
Phone
(423) 581-5925
NPI assigned
Jun 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27748 TN Primary

Addresses

Primary practice location

420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282

Mailing address

735 Harvey Dr
Russellville, TN 37860-8904
Phone (423) 736-7097

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cory.holt.1@3525.direct.athenahealth.com

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
I20200825000196 TN Practitioner - Nurse Practitioner 2961829833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Suite 400B
Morristown, TN 37813-2282
Phone (423) 586-2410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince May 1, 2021 Accepting new patients
Healthstar Physicians PC CurrentSince May 1, 2021 Accepting new patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

420 W Morris Blvd
Ste 400B
Morristown, TN 37813
Phone (423) 254-0547

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

Interoperability endpoints

  • Direct secure messaging: cory.holt.1@3525.direct.athenahealth.com

Organizations & group practices 3

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1265059133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 HARVEY DR",
            "city": "RUSSELLVILLE",
            "state": "TN",
            "postal_code": "378608904",
            "telephone_number": "423-736-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132282",
            "telephone_number": "423-581-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CORY",
        "middle_name": "LEWIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cory.holt.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "420 W Morris Blvd Ste 400B",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.