Organization Active NPI

Holston Medical Group, PC

Doing business as HMG Urology - Johnson City Pharmacy

  • Non-Pharmacy Dispensing Site
  • Johnson City, TN
National Provider Identifier
1619770088
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HOLSTON MEDICAL GROUP, PC
Doing business as
HMG Urology - Johnson City Pharmacy
Practice address
2340 Knob Creek Rd Ste 720
Johnson City, TN 37604-2977
Phone
(423) 926-6112
NPI assigned
Mar 31, 2025
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLSTON MEDICAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Mr. Brian Lewis
Title
Revenue Cycle Manager
Phone
(423) 392-7233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2340 Knob Creek Rd Ste 720
Johnson City, TN 37604-2977

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2000

Other names 1

  • HMG Urology - Johnson City Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0310687HMG Urology Johnson City2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604Provider-performed microscopyJul 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sapling Grove Surgery C5 organizations share this tax ID, including this one
Part of
Sapling Grove Surgery C

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1619770088",
    "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": "423-857-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 KNOB CREEK RD STE 720",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042977",
            "telephone_number": "423-926-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTON MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLSTON MEDICAL GROUP, PC",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "423-392-7233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMG Urology - Johnson City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.