Individual provider Active NPI

Paul B. Nieves, DO

  • Obstetrics & Gynecology Physician
  • Union City, TN
National Provider Identifier
1427084045
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33328 Issued in IA
Practice address
1312 Bishop St
Union City, TN 38261-5406
Phone
(731) 885-5100
Fax
(731) 885-7584
NPI assigned
Jun 24, 2006
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 33328 IA Primary

Addresses

Primary practice location

1312 Bishop St
Union City, TN 38261-5406

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093

Other practice location 1

105 W Stone Dr Ste 2B
Kingsport, TN 37660-3365
Phone (423) 247-7500

Other identifiers 1

IdentifierTypeStateIssuer
1517214MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WV, AL, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100823000628 TN Practitioner - Obstetrics/Gynecology 9830279728 Reassigns benefits to 1 organization
I20190814003671 WV Practitioner - Obstetrics/Gynecology 9830279728 Reassigns benefits to 1 organization
I20200221000449 AL Practitioner - Obstetrics/Gynecology 9830279728
I20230901003082 AZ Practitioner - Obstetrics/Gynecology 9830279728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

1739 E Beverly Ave
Suite 200
Kingman, AZ 86409-3593
Phone (928) 681-8705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2112TNMDProfessional Counselor
33328IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Perinatal Center CurrentSince Jan 3, 2022 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Newton Clinic PC Family Medicine Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2023 Accepting new patients
Tennessee Orthopaedic Clinics PC Past Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients

Locations

1739 E Beverly Ave
Kingman, AZ 86409
Phone (928) 263-4547

1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

Dept 888247
Knoxville, TN 37995

740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nievas.paul@st.direct.azkrmc.md
  • Direct secure messaging: nieves.paul@direct.azkrmc.md

Organizations & group practices 9

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1427084045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2093",
            "fax_number": "423-390-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 BISHOP ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615406",
            "telephone_number": "731-885-5100",
            "fax_number": "731-885-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Stone Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603365",
            "country_code": "US",
            "telephone_number": "423-247-7500",
            "fax_number": "423-247-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "PAUL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "33328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517214",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.