Active NPI
Magnolia Meadows LLC
- Substance Abuse Rehabilitation Facility
- Kingsport, TN
National Provider Identifier
1487564977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- MAGNOLIA MEADOWS LLC
- Practice address
- 2000 Greenway St
Kingsport, TN 37660-3020 - Phone
- (111) 111-1111
- NPI assigned
- Sep 9, 2026
- Organization subpart
- Yes
- Parent organization
- MAGNOLIA MEADOWS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Marie Rogers, LMHC, LPC
- Title
- Ceo
- Phone
- (941) 391-7261
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2000 Greenway St
Kingsport, TN 37660-3020
Mailing address
2000 Greenway St
Kingsport, TN 37660-3020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1487564977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREENWAY ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GREENWAY ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603020",
"telephone_number": "111-111-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA MEADOWS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAGNOLIA MEADOWS LLC",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "941-391-7261",
"authorized_official_credential": "LMHC, LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.