Individual provider Active NPI

Kevin Allen Metzger, D.O.

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1538514948
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3316 Issued in TN
Practice address
3019 Peoples St # Condo300
Johnson City, TN 37604-1977
Phone
(423) 461-2100
Fax
(423) 461-2199
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 3316 TN
Family Medicine Physician 207Q00000X 2019-01901 NC
Family Medicine Physician 207Q00000X 3316 TN Primary

Addresses

Primary practice location

3019 Peoples St # Condo300
Johnson City, TN 37604-1977

Mailing address

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

Other practice location 1

215 E Watauga Ave
Johnson City, TN 37601-4629
Phone (423) 461-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kevin.Metzger@mahec.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807003126 TN Practitioner - Family Practice 2860785755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Suite 1F
Kingsport, TN 37660-3256
Phone (423) 230-2420

420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813

4307 N Roan St
Johnson City, TN 37615-4973
Phone (423) 491-5222

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Kingsport, TN, CCN 447254
  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
Holston Medical Group, PC CurrentSince Aug 28, 2022 Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

215 E Watauga Ave
Johnson City, TN 37601
Phone (423) 433-6200

3019 Peoples St
Unit 300
Johnson City, TN 37604
Phone (423) 461-2100

105 W Stone Dr
Ste 1F
Kingsport, TN 37660
Phone (423) 230-2420

4848 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 239-5141

Interoperability endpoints

  • Direct secure messaging: kevinmetzger@hmgpath.allscriptsdirect.net
  • Direct secure messaging: kevin.metzger@mahec.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1538514948",
    "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": "3019 PEOPLES ST # CONDO300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041977",
            "telephone_number": "423-461-2100",
            "fax_number": "423-461-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Watauga Ave",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376014629",
            "country_code": "US",
            "telephone_number": "423-461-2100",
            "fax_number": "423-461-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "3316",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-01901",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kevin.Metzger@mahec.net",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "123 Hendersonville Rd",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288032868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.