Individual provider Active NPI

Sherry Michelle Brown Bowen, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1548929920
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000030343 Issued in TN
Practice address
1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone
(423) 860-0516
Fax
(423) 860-0517
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000030343 TN Primary

Addresses

Primary practice location

1797 Fort Henry Dr
Kingsport, TN 37664-3226

Mailing address

110 Wellington CT
Gray, TN 37615-3204
Phone (423) 306-0151

Other identifiers 1

IdentifierTypeStateIssuer
Q071886MedicaidTN

Other names 1

  • Sherry Michelle Montgomery Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Kingsport Health Information Exchange (HIE)
SOAP URL Kingsport Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209000385 TN Practitioner - Nurse Practitioner 2163815424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1797 Fort Henry Dr
Kingsport, TN 37664-3226
Phone (423) 830-0516

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

805 W Jackson Blvd
Jonesborough, TN 37659-5270
Phone (423) 850-8190

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30343TNMDVascular & Interventional Radiology Physician
APN0000030343TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Southeastern Physician Services PC CurrentSince Nov 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 25, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 25, 2022 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

1797 Fort Henry Dr
Kingsport, TN 37664
Phone (423) 830-0516

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 5

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 7

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1548929920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WELLINGTON CT",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376153204",
            "telephone_number": "423-306-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643226",
            "telephone_number": "423-860-0516",
            "fax_number": "423-860-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN BOWEN",
        "first_name": "SHERRY",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000030343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q071886",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kingsport",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1401 University Blvd. Apt. A-3",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kingsport",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1401 University Blvd. Apt. A-3",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "MONTGOMERY",
            "middle_name": "MICHELLE",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.