Individual provider Active NPI

Douglas A Wright, M.D.

  • Neurology Physician
  • Kingsport, TN
National Provider Identifier
1376644708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD0000034373 Issued in TN
Practice address
914 Broad St
Suite 3a
Kingsport, TN 37660-3817
Phone
(423) 247-5553
Fax
(423) 247-9254
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD0000034373 TN Primary

Addresses

Primary practice location

914 Broad St
Suite 3a
Kingsport, TN 37660-3817

Mailing address

4412 Stagecoach Rd
Kingsport, TN 37664-2140
Phone (423) 288-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neuropsychiatry
Education
Ohio State University College of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Mountain Region Speech and Hearing CenterGroup PAC ID 8628003589, 17 clinicians

Practice addresses (Care Compare)

301 Louis St
Suite 101
Kingsport, TN 37660-5195
Phone (423) 246-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000034373TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Neurologists of Kingsport Neurology PastSince Jan 20, 2017 Accepting new patients
Neurology and Neuroscience Associates, Inc. Neurology Past Accepting new patients
Gray Station Neurology, PC Neurology PastSince Jan 2, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: douglas.wright.1@3537.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3537/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376644708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 STAGECOACH RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642140",
            "telephone_number": "423-288-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BROAD ST",
            "address_2": "SUITE 3A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603817",
            "telephone_number": "423-247-5553",
            "fax_number": "423-247-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000034373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.