Active NPI
Donald K Huffman, DO
- Family Medicine Physician
- Jefferson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4956
- Practice address
- 200 Hospital Ave
Jefferson, NC 28640-9244 - Phone
- (336) 846-7433
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4956 | TN | Primary |
Addresses
Primary practice location
200 Hospital Ave
Jefferson, NC 28640-9244
Mailing address
200 Hospital Ave
Jefferson, NC 28640-9244
Other practice location 1
208 Medical Park Blvd
Bristol, TN 37620-7343
Phone (423) 989-4050
Other practice location 2
917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 439-6464
Other practice location 3
102 E Ravine Rd
Kingsport, TN 37660-3814
Phone (423) 245-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q058354 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hospital Ave
Suite 3
Jefferson, NC 28640-9244
Phone (336) 846-7433
9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027
917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 439-6464
Hospital & facility affiliations
- Medi Home Health and Hospice
- Centerwell Home Health
- Ashe Memorial Hospital
- Wilkes Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashe Financial Services, LLC | Family Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Family Medicine | Current | Accepting new patients |
| Ashe Financial Services, LLC | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Family Medicine | Past | Accepting new patients |
Locations
200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
917 W Walnut St
Johnson City, TN 37604
Phone (423) 439-6464
102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600
Interoperability endpoints
- donald.huffman.1@14562.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Jefferson, NC
- NPI 1295193340
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Family Medicine
-
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
-
- Orthopaedic Surgery Physician
- Jefferson, NC
- NPI 1376053512
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1588786768
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jefferson, NC
- NPI 1376671370
-
- Home Health Agency
- Boone, NC
- NPI 1548602790
-
- Home Health Agency
- Boone, NC
- NPI 1720329246
-
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1689201691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "336-846-7433"
}
],
"practiceLocations": [
{
"address_1": "208 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207343",
"country_code": "US",
"telephone_number": "423-989-4050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "917 W Walnut St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046527",
"country_code": "US",
"telephone_number": "423-439-6464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 E Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603814",
"country_code": "US",
"telephone_number": "423-245-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUFFMAN",
"first_name": "DONALD",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "4956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q058354",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.