NPIMap

Individual provider Active NPI

Amy Christine Lawrence, D.O.

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1740523620
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2838 Issued in TN
Practice address
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Phone
(423) 282-1480
Fax
(423) 928-1353
NPI assigned
Mar 29, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 DO2838 TN Primary

Addresses

Primary practice location

2421 N John B Dennis Hwy
Kingsport, TN 37660-4773

Mailing address

PO Box 4018
Johnson City, TN 37602-4018
Phone (423) 282-1480

Other practice location 1

1 Medical Park Blvd Ste 350W
Bristol, TN 37620-7471
Phone (423) 282-1480

Other identifiers 1

IdentifierTypeStateIssuer
Q014449MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828001340 TN Practitioner - Family Practice 8729394226 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

3530 Keith St NW
Cleveland, TN 37312-4309
Phone (423) 476-3254

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2838TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Nov 27, 2017 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Nov 27, 2017 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 8, 2024 Accepting new patients
BH Services Southeast 1 PC CurrentSince Jan 6, 2026 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 1, 2021 Accepting new patients
Lakebridge a Waters Community LLC Past Accepting new patients
Elizabethton Medical Investors LP Past Accepting new patients
Ocoee Hermitage Health Center LLC Past Accepting new patients
Agape Rehabilitation & Nursing Center a Waters Community LLC Past Accepting new patients
The Waters of Johnson City LLC Past Accepting new patients
Four Oaks Operating Group LLC Past Accepting new patients
Abundant Christian Living Community LLC Past Accepting new patients
Waters of Bristol a Rehabilitation & Nursing Center LLC Past Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

1 Medical Park Blvd
Ste 350W
Bristol, TN 37620
Phone (423) 844-4240

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

3530 Keith St NW
Cleveland, TN 37312
Phone (423) 309-7567

1633 Hillview Dr
Elizabethton, TN 37643
Phone (423) 543-2571

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

2421 N John B Dennis Hwy
Kingsport, TN 37660
Phone (423) 288-3988

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hermitage Health CenterElizabethton, TN, CCN 445474 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 4, 2021
Jan 1, 2019
Abundant Christian Living Community Rehabilitation CenterJohnson City, TN, CCN 445483 Skilled nursing facility Adp of the SNF Jan 1, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740523620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4018",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024018",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604773",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd Ste 350W",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207471",
            "country_code": "US",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO2838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014449",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.