Individual provider Active NPI

Katie M Prosser, DO

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1366005605
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4833 Issued in TN
Practice address
1526 Bridgewater LN Ste 100
Kingsport, TN 37660-4106
Phone
(423) 583-0803
Fax
(423) 732-7014
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4833 TN Primary

Addresses

Primary practice location

1526 Bridgewater LN Ste 100
Kingsport, TN 37660-4106

Mailing address

1526 Bridgewater LN Ste 100
Kingsport, TN 37660-4106
Phone (423) 583-0803

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819002348 TN Practitioner - Family Practice 1254714496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone (423) 239-7300

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4833TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jul 10, 2022 Accepting new patients
Healthstar Physicians PC CurrentSince Feb 23, 2026 Accepting new patients
Healthstar Physicians, P.C. Family Medicine CurrentSince Feb 23, 2026 Accepting new patients

Locations

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

1242 W Shipley Ferry Rd
Kingsport, TN 37663
Phone (423) 239-7300

444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100

1526 Bridgewater Ln
Ste 100
Kingsport, TN 37660
Phone (423) 583-0803

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1366005605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN STE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-583-0803",
            "fax_number": "423-732-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN STE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-583-0803",
            "fax_number": "423-732-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.