Active NPI
Donald R Lovelace, MD
- Obstetrics & Gynecology Physician
- Kingsport, TN
National Provider Identifier
1780648972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD14203
- Practice address
- 2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634 - Phone
- (423) 392-6370
- Fax
- (423) 392-6081
- NPI assigned
- Apr 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD14203 | TN | Primary |
Addresses
Primary practice location
2002 Brookside Dr Ste 300
Kingsport, TN 37660-4634
Mailing address
215 E Springbrook Dr
Johnson City, TN 37601-1761
Phone (423) 392-6370
Other practice location 1
301 Med Tech Pkwy Ste 200
Johnson City, TN 37604
Phone (423) 794-1300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q003370 | Medicaid | TN | |
| 3195006 | Medicaid | TN | |
| 1780648972 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14203 | TN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1780648972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E SPRINGBROOK DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011761",
"telephone_number": "423-392-6370",
"fax_number": "423-530-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR STE 300",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-392-6370",
"fax_number": "423-392-6081"
}
],
"practiceLocations": [
{
"address_1": "301 Med Tech Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "37604",
"country_code": "US",
"telephone_number": "423-794-1300",
"fax_number": "423-794-1820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVELACE",
"first_name": "DONALD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD14203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q003370",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3195006",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780648972",
"state": "VA"
}
],
"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 Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.