Individual provider Active NPI

Kathryn J Glass, MD

  • Family Medicine Physician
  • Martin, TN
National Provider Identifier
1679527923
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38858 Issued in TN
Practice address
143 Kennedy Dr
Martin, TN 38237-3309
Phone
(731) 587-5321
Fax
(731) 588-5909
NPI assigned
May 20, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38858 TN Primary

Addresses

Primary practice location

143 Kennedy Dr
Martin, TN 38237-3309

Mailing address

143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321

Other identifiers 1

IdentifierTypeStateIssuer
Q054494MedicaidTN

Other names 1

  • Kathryn Leona Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040826000128 KY Practitioner - Family Practice 2466426242 Reassigns benefits to 1 organization
I20200513002113 TN Practitioner - Family Practice 2466426242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin HealthGroup PAC ID 5193070613, 9 clinicians

Practice addresses (Care Compare)

1135 Broadway St
South Fulton, TN 38257-2835
Phone (731) 479-2606

143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Health Current Accepting new patients
Signify Health, LLC CurrentSince Oct 3, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Martin Health Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Martin Hospital Company LLC Family Medicine Past Accepting new patients
Martin Health Past Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321

1135 Broadway St
South Fulton, TN 38257
Phone (731) 479-2606

1135 Broadway St
Ste A
South Fulton, TN 38257
Phone (731) 479-2606

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kglass27611@directepic.wth.org

Organizations & group practices 6

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1679527923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-5321",
            "fax_number": "731-588-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-5321",
            "fax_number": "731-588-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q054494",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JOHNSON",
            "middle_name": "LEONA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.