Active NPI
Marc W Mayhew, MD
- Interventional Cardiology Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 43665
- Practice address
- 2050 Meadowview Parkway
Kingsport, TN 37660-7332 - Phone
- (423) 230-5000
- Fax
- (423) 230-5097
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24890 | AL | |
| Cardiovascular Disease Physician | 207RC0000X | 43665 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 43665 | TN | Primary |
Addresses
Primary practice location
2050 Meadowview Parkway
Kingsport, TN 37660-7332
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009999495 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
100 15TH St NW
Norton, VA 24273-1616
Phone (276) 439-1000
127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (423) 230-5000
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 230-5000
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1100
16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211-7664
Phone (276) 258-3740
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 320-5000
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000
851 Locust St
Rogersville, TN 37857-2407
Phone (423) 272-2671
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Lonesome Pine Hospital
- Indian Path Community Hospital
- Hawkins County Memorial Hospital
- Johnston Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 15 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24890 | AL | MD | Internal Medicine Physician |
| 43665 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Cardiology Services | Cardiovascular Disease | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| BHC - Montclair Hospitalist | Internal Medicine | Past | Accepting new patients |
| Wellmont Medical Associates, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
2033 Meadowview Ln
Kingsport, TN 37660
Phone (423) 230-6040
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
2050 Meadowview Pkwy
Kingsport, TN 37660
851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200
127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Internal Medicine
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1568426690
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
- General Acute Care Hospital
- Rogersville, TN
- NPI 1174553598
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1710098546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "SUITE 6A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-408-7220",
"fax_number": "423-408-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 MEADOWVIEW PARKWAY",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607332",
"telephone_number": "423-230-5000",
"fax_number": "423-230-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYHEW",
"first_name": "MARC",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "24890",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "43665",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "43665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009999495",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.