Individual provider Active NPI

John R Hereford, MD

  • Obstetrics & Gynecology Physician
  • Norton, VA
National Provider Identifier
1619931557
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD15919 Issued in TN
Practice address
102 15TH St NW Ste 301
Norton, VA 24273-1627
Phone
(276) 439-1470
Fax
(276) 439-1471
NPI assigned
Apr 17, 2006
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101290061 VA
Obstetrics & Gynecology Physician 207V00000X MD15919 TN Primary

Addresses

Primary practice location

102 15TH St NW Ste 301
Norton, VA 24273-1627

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634
Phone (423) 530-7900

Other practice location 2

5000 Monarch Pt Ste 300
Greeneville, TN 37745-4275
Phone (423) 636-2770

Other practice location 3

301 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2641
Phone (423) 794-1300

Other identifiers 4

IdentifierTypeStateIssuer
3011101MedicaidTN
7100045670MedicaidKY
1619931557MedicaidVA
3011104MedicaidTN

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
I20070220000522 TN Practitioner - Obstetrics/Gynecology 3072615178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15919TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 16, 1999 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Medical Education Assistance Corporation Obstetrics & Gynecology CurrentSince Oct 25, 2016 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 3, 2020 Accepting new patients
Wellmont Medical Associates Inc Obstetrics & Gynecology CurrentSince Mar 3, 2020 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Nov 15, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 16, 1999 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

5000 Monarch Pt
Ste 300
Greeneville, TN 37745
Phone (423) 636-2770

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

301 Med Tech Pkwy
Ste 200
Johnson City, TN 37604
Phone (423) 794-1300

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

105 W Park Dr
Kingsport, TN 37660
Phone (423) 224-3220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2002 Brookside Dr
Ste 300
Kingsport, TN 37660
Phone (423) 392-6370

2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900

1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
  • Direct secure messaging: johnhereford@sofha.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1619931557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 15TH ST NW STE 301",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731627",
            "telephone_number": "276-439-1470",
            "fax_number": "276-439-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Brookside Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604634",
            "country_code": "US",
            "telephone_number": "423-530-7900",
            "fax_number": "423-530-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Monarch Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454275",
            "country_code": "US",
            "telephone_number": "423-636-2770",
            "fax_number": "423-636-2771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Med Tech Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042641",
            "country_code": "US",
            "telephone_number": "423-794-1300",
            "fax_number": "423-794-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEREFORD",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101290061",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD15919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011101",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100045670",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619931557",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011104",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.