Organization Active NPI

Holston Medical Group, PC

Doing business as Sapling Grove Orthopaedics

  • Orthopaedic Surgery Physician
  • Bristol, TN
National Provider Identifier
1295453652
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HOLSTON MEDICAL GROUP, PC
Doing business as
Sapling Grove Orthopaedics
Practice address
240 Medical Park Blvd Ste 1500
Bristol, TN 37620-7353
Phone
(423) 990-2460
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Podiatrist 213E00000X NU

Addresses

Primary practice location

240 Medical Park Blvd Ste 1500
Bristol, TN 37620-7353

Mailing address

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

Other names 1

  • Sapling Grove Orthopaedics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0712509Holston Medical Group PC240 Medical Park Blvd, Suite 3000, Bristol, TN 37620ComplianceMay 11, 2028
44D2013761Holston Medical Group, PC Dba Holston Medical240 Medical Park Blvd, Suite 1800, Bristol, TN 37620Certificate of waiverSep 23, 2026
44D2140064Holston Medical Group, PC240 Medical Park Blvd, Suite 2700, Bristol, TN 37620Provider-performed microscopyMar 25, 2027
44D2189654Holston Medical Group, PC240 Medical Park Blvd, Suite 1100, Bristol, TN 37620Certificate of waiverAug 3, 2026
44D2259660Holston Medical Group Specialty at Sapling Grove240 Medical Park Blvd, Suite 2000, Bristol, TN 37620ComplianceNov 20, 2027
44D2298322Holston Medical Group, PC240 Medical Park Blvd, Suite 1600, Bristol, TN 37620Provider-performed microscopyJan 31, 2028

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 1

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": "1295453652",
    "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": "240 MEDICAL PARK BLVD STE 1500",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207353",
            "telephone_number": "423-990-2460"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sapling Grove Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.