Active NPI
Caleb J Knisley, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 69796
- Practice address
- 3 Richland Medical Park Dr
Columbia, SC 29203-6849 - Phone
- (803) 434-6095
- NPI assigned
- Mar 31, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 69796 | TN | Primary |
| Family Medicine Physician | 207Q00000X | MD94642 | SC | |
| Family Medicine Physician | 207Q00000X | 0101289695 | VA | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 0101289695 | VA | |
| Family Medicine Physician | 207Q00000X | 69796 | TN |
Addresses
Primary practice location
3 Richland Medical Park Dr
Columbia, SC 29203-6849
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
1 Medical Park Blvd Ste 3W
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 2
16000 Johnston Memorial Dr Ste B
Abingdon, VA 24211-7664
Phone (276) 258-1880
Other practice location 3
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 4
1 Medical Park Blvd Ste 210E
Bristol, TN 37620-7468
Phone (423) 844-5500
Other practice location 5
2202 N John B Dennis Hwy Ste 110
Kingsport, TN 37660-5904
Phone (423) 578-8400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220708000801 | TN | Order and Referring Only - Family Practice | 5890175897 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD94642 | SC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WPS Providers Inc | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
1 Medical Park Blvd
Ste 3W
Bristol, TN 37620
Phone (423) 844-1121
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
Organizations & group practices 1
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.
-
- General Practice Physician
- Kingsport, TN
- NPI 1003904095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1689314254",
"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": "3 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036849",
"telephone_number": "803-434-6095"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Park Blvd Ste 3W",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-844-1121",
"fax_number": "423-844-5588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr Ste B",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park Blvd Ste 210E",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207468",
"country_code": "US",
"telephone_number": "423-844-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2202 N John B Dennis Hwy Ste 110",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376605904",
"country_code": "US",
"telephone_number": "423-578-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNISLEY",
"first_name": "CALEB",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "TN",
"license": "69796",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "MD94642",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101289695",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "VA",
"license": "0101289695",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "69796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Annmarie Cimino Knight, PH.D., CCC-SLP
- Elizabeth Wagoner Knight, N.P.
- Lisa M. Knight, M.D.
- Opal Knight, MA, MHA, LPC, BC-TMH
- Sheila L Knight
- Heather Patterson Knitz, PHARMD
- Cara Lindsay Knobelauch, M.ED., CCC-SLP
- Marjorie A Knope, APA-C
- Know Pressure Counseling & Consulting LLC
- Alleen Kimberly Knowlin Britton, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.