Kingsport Primary Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD39507 Issued in TN

Legal business name

KINGSPORT PRIMARY HEALTHCARE, LLC

Practice address

1526 Bridgewater LN
Kingsport, TN 37660-4106

Phone

(423) 246-0033

Fax

(423) 245-0034

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Stan McLain, MD

Title

Medical Director

Phone

(313) 363-6325

Specialties & licenses 1

Addresses

Practitioners 1

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

• Scott D McLain, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1285664839
  NPD

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1679074892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 RANDEL RD",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134213515",
            "telephone_number": "315-363-6325",
            "fax_number": "315-363-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-246-0033",
            "fax_number": "423-245-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT PRIMARY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-363-6325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD39507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsport Family Medical Care PLLC
• Kingsport Family Recovery Associates
• Kingsport NH Operations, LLC
• Kingsport Plastic Surgery, PC
• Kingsport Primary Care, PC
• Kingsport Psychiatric Services
• Kingsport Psychiatry & Counseling Services, PLLC
• Kingsport Senior House, LLC
• Kingsport TN Ophthalmology ASC LLC
• Kingsport TN Ophthalmology ASC LLC

• Family Medicine Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.