Mediserve Medical Equipment of Kingsport, Inc.

Key facts

NPI

1568087294

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.

Practice address

1490 Park Ave NW Ste 6
Norton, VA 24273-1631

Phone

(276) 439-1460

Fax

(276) 439-1461

NPI assigned

Jun 9, 2020

Organization subpart

No

Authorized official

Name

Gregory J Crawford

Title

President

Phone

(859) 300-6455

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mediserve Medical Equipment of Kingsport, Inc. Durable Medical Equipment & Medical Supplies · Gray, TN · NPI 1962587832
  Same PAC ID 3678691243

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mediserve Medical Equipment of Kingsport, Inc. Durable Medical Equipment & Medical Supplies · Gray, TN · NPI 1962587832
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Mountain States Health Alliance Home Health Agency · Abingdon, VA · NPI 1962998732
  NPD member Member Of
• Blue Ridge Medical Management Corporation Internal Medicine Physician · Johnson City, TN · NPI 1619349578
  NPD member Member Of

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory H Miller, M.D. Cardiovascular Disease Physician · Abingdon, VA · NPI 1063445989
  NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Medicare enrollment records

National Provider Directory

Tax ID family

Mediserve Med Equip-KSPT (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2025.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1568087294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 PARK AVE NW STE 6",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731631",
            "telephone_number": "276-439-1460",
            "fax_number": "276-439-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-300-6455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

• Lindsey Province McCurry, NP
• Edgar Allen McGovern, D.O.
• Robert Earl Means Jr., MD
• Med-Trans Corporation
• Medical Arts Phcy of St Marys
• Adam L Middleton, MED
• David P Miller, MD
• Zachary D Miller, M.D.
• Muhammad Bilal Mirza, D.O.
• Mohammed a Bhatti MD

All providers in Norton, VA · Durable Medical Equipment & Medical Supplies in Virginia