Active NPI
Cynthia McGlothlin, WHNP
- Women's Health Nurse Practitioner
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 144476
- Practice address
- 350 Steeles Rd
Bristol, TN 37620-9532 - Phone
- (423) 844-4925
- Fax
- (423) 844-4933
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 144476 | TN | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 0024165896 | VA |
Addresses
Primary practice location
350 Steeles Rd
Bristol, TN 37620-9532
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010114497 | Medicaid | VA | |
| 3499917 | Medicaid | TN |
Other names 1
- Miss Cynthia Gross
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101001076 | TN | Practitioner - Nurse Practitioner | 8224090253 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holston Medical Group PC
Practice addresses (Care Compare)
240 Medical Park Blvd
Suite 2700
Bristol, TN 37620-7352
Phone (423) 274-6365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144476 | TN | MD | Women's Health Nurse Practitioner |
| 0024165896 | VA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Current | Accepting new patients |
Locations
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
350 Steeles Rd
Bristol, TN 37620
Phone (423) 844-4925
320 Bristol West Blvd
Ste 2C
Bristol, TN 37620
Phone (423) 844-1399
2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900
1754 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-5980
Interoperability endpoints
- cynthiamcglothlin@hmgpath.allscriptsdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1477556397",
"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": "423-857-2066",
"fax_number": "423-857-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 STEELES RD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376209532",
"telephone_number": "423-844-4925",
"fax_number": "423-844-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLOTHLIN",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "144476",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024165896",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010114497",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3499917",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "GROSS",
"prefix": "MISS",
"credential": "WHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.