Active NPI
Alexander Keith Anderson, FNP
- Family Nurse Practitioner
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29226
- Practice address
- 1 Medical Park Blvd Ste 300E
Bristol, TN 37620-7497 - Phone
- (423) 844-6450
- NPI assigned
- Apr 6, 2021
- Last updated
- Sep 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29226 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024181000 | VA |
Addresses
Primary practice location
1 Medical Park Blvd Ste 300E
Bristol, TN 37620-7497
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
430 W Ravine Rd
Kingsport, TN 37660-3868
Phone (423) 245-3161
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8200
430 W Ravine Rd
Kingsport, TN 37660-3868
Phone (423) 245-3161
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29226 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Orthopaedics of Kingsport PC | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Nurse Practitioner | Current | Accepting new patients |
| Associated Orthopaedics of Kingsport PC | Current | Accepting new patients | |
| Associated Orthopaedics of Kingsport PC | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
430 W Ravine Rd
Kingsport, TN 37660
Phone (423) 245-3161
16000 Johnston Memorial Dr
Ste 100
Abingdon, VA 24211
Phone (276) 258-1760
338 Coeburn Ave SW
Norton, VA 24273
Phone (276) 679-0800
Interoperability endpoints
- aanderson91056@balladhealth.medalliesdirect.net
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1579
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1053683227
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1912437062
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Orthopaedic Surgery Physician
- Norton, VA
- NPI 1013273937
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1497334577",
"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",
"fax_number": "423-282-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 300E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207497",
"telephone_number": "423-844-6450"
}
],
"practiceLocations": [
{
"address_1": "430 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603868",
"country_code": "US",
"telephone_number": "423-245-3161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALEXANDER",
"middle_name": "KEITH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29226",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024181000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
- Jeffrey Stephen Alvis, MD
- Ambulance Service of Bristol Inc
- Shirin Amirfaiz, D.D.S.
- Anchor Health & Wellness PLLC
- Anderson Compounding Pharmacy Inc (Anderson Compounding Pharmacy)
- Jessica Dawn Anderson, CPNP-PC
- Roy C Anderson II, DPH
- Angel Assist Transport LLC
- Holly S Angus, RN
- Appalachian Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.