Mediserve Medical Equipment of Kingsport, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 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

Last updated

Jul 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Crawford

Title

President

Phone

(859) 300-6455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

  dba Ballad Health Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Gray, TN
  • NPI 1962587832

  3678691243

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Mediserve Med Equip-KSPT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mediserve Medical Equipment of Kingsport, Inc.

  dba Ballad Health Medical Equipment

  • 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.

• Blue Ridge Medical Management Corpoartion

  dba MSMG Ortho ELIZ

  • Orthopaedic Surgery Physician
  • Elizabethton, TN
  • NPI 1336442649

  Member Of

  NPD member
• Mountain States Health Alliance

  dba Johnson City Medical Center

  • Psychiatric Hospital Unit
  • Johnson City, TN
  • NPI 1962915652

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory H Miller, M.D.

  • Cardiovascular Disease Physician
  • Abingdon, VA
  • NPI 1063445989
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": []
}

• 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
• Kara Miller
• Zachary D Miller, M.D.
• Muhammad Bilal Mirza, D.O.

• Durable Medical Equipment & Medical Supplies in Norton, VA
• Providers in Norton, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.