NPIMap

Individual provider Active NPI

Darlene E Fogg, MD

  • Obstetrics & Gynecology Physician
  • Kingsport, TN
National Provider Identifier
1396753471
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35177 Issued in TN
Practice address
105 W Park Dr
Kingsport, TN 37660-3805
Phone
(423) 224-3220
Fax
(423) 224-3233
NPI assigned
Aug 4, 2006
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35177 TN Primary

Addresses

Primary practice location

105 W Park Dr
Kingsport, TN 37660-3805

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634
Phone (423) 530-7900

Other practice location 2

301 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2641
Phone (423) 794-1300

Other identifiers 2

IdentifierTypeStateIssuer
3863999MedicaidTN
1396753471MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000516 TN Practitioner - Obstetrics/Gynecology 0143226100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

105 W Park Dr
Kingsport, TN 37660-3805
Phone (423) 224-3220

2002 Brookside Dr
Suite 300
Kingsport, TN 37660-4634
Phone (423) 794-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35177TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Apr 7, 2015 Accepting new patients
State of Franklin Healthcare Associates PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Feb 1, 2026 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Nov 15, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 7, 2015 Accepting new patients
Mountain States Health Alliance Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
Mountain States Health Alliance Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

301 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 794-1300

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

105 W Park Dr
Kingsport, TN 37660
Phone (423) 224-3220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2002 Brookside Dr
Ste 300
Kingsport, TN 37660
Phone (423) 392-6370

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

Interoperability endpoints

  • Direct secure messaging: darlenefogg@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1396753471",
    "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": "105 W PARK DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603805",
            "telephone_number": "423-224-3220",
            "fax_number": "423-224-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Brookside Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604634",
            "country_code": "US",
            "telephone_number": "423-530-7900",
            "fax_number": "423-232-8580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Med Tech Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042641",
            "country_code": "US",
            "telephone_number": "423-794-1300",
            "fax_number": "423-794-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGG",
        "first_name": "DARLENE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "35177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3863999",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396753471",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.