Holston Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLSTON MEDICAL GROUP PC

Practice address

105 W Stone Dr
3A
Kingsport, TN 37660-3256

Phone

(423) 392-6200

Fax

(423) 392-6583

NPI assigned

Jul 21, 2006

Last updated

Nov 6, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shawna Armstrong

Title

Cfo

Phone

(423) 857-2066

Specialties & licenses 15

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN, VA4 enrollments

Enrollment records 4

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Holston Medical Group PC

  • Medical Laboratory Technician
  • Kingsport, TN
  • NPI 1356405120

  O20031216000416

  Same enrollment

Locations (25 of 59)

Practitioners 332

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa M Adams, PA-C

  • Physician Assistant
  • Kingsport, TN
  • NPI 1932430741
  Medicare reassignment Care Compare group NPD
• Parvati Ananthula, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1669475448
  Medicare reassignment Care Compare group NPD
• Srinivas Ananthula, MD

  • Internal Medicine Physician
  • Kingsport, TN
  • NPI 1992706931
  Medicare reassignment Care Compare group NPD
• Ruhma Arif, M.D.

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1962680462
  Medicare reassignment Care Compare group NPD
• Whitney Alison Babel, P.A.

  • Medical Physician Assistant
  • Erwin, TN
  • NPI 1912308115

  VA

  Medicare reassignment Care Compare group NPD
• Kristina Bagley

  • Nurse Practitioner
  • Johnson City, TN
  • NPI 1720527674
  Medicare reassignment Care Compare group NPD
• Jacquelyn Rose Baker, FNP-C

  • Family Nurse Practitioner
  • Bristol, TN
  • NPI 1144713728
  Medicare reassignment Care Compare group NPD
• Everette Barton, NP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1235595919
  Medicare reassignment Care Compare group NPD
• Chad Bates, M.D.

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1003926353
  Medicare reassignment Care Compare group NPD
• David A Beaird, MD

  • Urology Physician
  • Johnson City, TN
  • NPI 1992760516
  Medicare reassignment Care Compare group NPD
• Mary Elizabeth Becker, MD

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1518961135

  VA

  Medicare reassignment Care Compare group NPD
• Arthur Belanger, DPM

  • Podiatrist
  • Johnson City, TN
  • NPI 1083949077
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1831110667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066",
            "fax_number": "423-857-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W STONE DR",
            "address_2": "3A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603256",
            "telephone_number": "423-392-6200",
            "fax_number": "423-392-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-857-2066",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720184",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720182",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720181",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720183",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Chase Holliman, OD
• David Corbett Holliman, O.D.
• Melissa Marlo Holliman, O.D.
• Holston Manor SNF Operations LLC
• Holston Medical Group PC
• Holston Medical Group, PC
• Holston Medical Group, PC (Med Plaza Orthopaedics)
• Holston NH Operations LLC (Holston Manor)
• Holston Pediatric and Adolescent Care
• Holston Regional Alternative Medicine

• Family Medicine Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.