NPIMap

Individual provider Active NPI

Jacalyn Paige Gilbert-Green, D.O.

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1801107545
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2538 Issued in TN
Practice address
2204 Pavilion Dr Ste 200
Kingsport, TN 37660-4652
Phone
(423) 224-3900
Fax
(423) 224-3901
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 2538 TN Primary

Addresses

Primary practice location

2204 Pavilion Dr Ste 200
Kingsport, TN 37660-4652

Mailing address

1021 W Oakland Ave
Johnson City, TN 37604-2191
Phone (423) 952-2111

Other practice location 1

315 Deaderick St Ste 1550
Nashville, TN 37238-3003
Phone (888) 803-3370

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
I20130813000849 TN Practitioner - Family Practice 5092957514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

215 E Watauga Ave
Johnson City, TN 37601-4629
Phone (423) 433-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Education Assistance Corporation Family Medicine CurrentSince Aug 15, 2013 Accepting new patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Aug 1, 2021 Accepting new patients
Medical Education Assistance Corporation Family Medicine Past Accepting new patients

Locations

215 E Watauga Ave
Johnson City, TN 37601
Phone (423) 433-6200

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200

102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600

201 Cassell Dr
Kingsport, TN 37660
Phone (423) 245-9600

Interoperability endpoints

  • Direct secure messaging: jacalyngilbert-green@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1801107545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042191",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PAVILION DR STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604652",
            "telephone_number": "423-224-3900",
            "fax_number": "423-224-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Deaderick St Ste 1550",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372383003",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT-GREEN",
        "first_name": "JACALYN",
        "middle_name": "PAIGE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.