Active NPI
Robert Anthony Ferguson, D.O.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 6320
- Practice address
- 2050 Meadowview Pkwy
Kingsport, TN 37660-7475 - Phone
- (423) 230-5000
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 062734 | NC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2017-01260 | NC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 6320 | TN | Primary |
Addresses
Primary practice location
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-9238
Phone (336) 716-2255
Other practice location 2
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Other practice location 3
271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600
Other practice location 4
310 N State Of Franklin Rd Ste 400
Johnson City, TN 37604-6051
Phone (423) 929-7393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Johnston Memorial Hospital
- Wellmont Bristol Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6320 | TN | MD | Clinical Social Worker |
| 062734 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Cardiology Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Surgery | Current | Accepting new patients |
| West Virginia University Medical Corporation | Surgery | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
Locations
210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
310 N State of Franklin Rd
Ste 400
Johnson City, TN 37604
Phone (423) 929-7393
2050 Meadowview Pkwy
Kingsport, TN 37660
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
705 Garfield Ave
Ste 460
Parkersburg, WV 26101
Phone (304) 424-2093
Interoperability endpoints
- bferguson410165@directhisp.wakemed.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Surgery
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Raleigh, NC
- NPI 1144884636
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1326314808",
"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": "2050 MEADOWVIEW PKWY",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607475",
"telephone_number": "423-230-5000"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271579238",
"country_code": "US",
"telephone_number": "336-716-2255",
"fax_number": "336-716-3202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "271 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207455",
"country_code": "US",
"telephone_number": "423-274-8600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 N State Of Franklin Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046051",
"country_code": "US",
"telephone_number": "423-929-7393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "062734",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "2017-01260",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "6320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.