Clinchfield Family Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0000042820 Issued in TN

Legal business name

CLINCHFIELD FAMILY MEDICINE, PLLC

Practice address

1936 Brookside Dr Ste E
Kingsport, TN 37660-4654

Phone

(423) 378-1500

Fax

(423) 378-1520

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Holly Charlene Grigsby, MDNPI 1326138470

Title

Owner/Medical Director

Phone

(423) 378-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3512/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Charlene Grigsby, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1326138470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1316228075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 BROOKSIDE DR STE E",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604654",
            "telephone_number": "423-378-1500",
            "fax_number": "423-378-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 BROOKSIDE DR STE E",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604654",
            "telephone_number": "423-378-1500",
            "fax_number": "423-378-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCHFIELD FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-378-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "0000042820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316228075",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527171",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Joan Clatworthy, NP
• Clearsight Vision Center, LLC
• Clemson Enterprise PLLC
• Rebecca Daye Click, M.S., CCC-SLP
• Thomas Click
• Johnna Melynn Cline, CCC-SLP
• Cynthia L. Cloud, ANP-BC
• Weiqian Coates
• Eric N. Cobb, HIS
• Ashlyn Olivia Cobble, RD

• Primary Care Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.