Individual provider Active NPI

Jamie Givens, NP

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1871634428
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12007 Issued in TN
Practice address
2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653
Phone
(423) 230-4660
Fax
(423) 230-4669
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024167379 VA
Family Nurse Practitioner 363LF0000X 12007 TN Primary

Addresses

Primary practice location

2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

105 W Stone Dr
Suite 1F
Kingsport, TN 37660-3256
Phone (423) 230-2420

Other identifiers 2

IdentifierTypeStateIssuer
1509990MedicaidTN
1871634428MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000451 TN Practitioner - Nurse Practitioner 8628154044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

117 W Sevier Ave
Suite 120
Kingsport, TN 37660-3770
Phone (423) 230-4660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12007TNMDFamily Nurse Practitioner
0024167379VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner CurrentSince Apr 9, 2023 Accepting new patients
Medical Education Assistance Corporation CurrentSince Apr 5, 2021 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 9, 2023 Accepting new patients
Wellmont Medical Associates, Inc. PastSince Apr 9, 2023 Accepting new patients

Locations

325 N State of Franklin Rd
Fl 2
Johnson City, TN 37604
Phone (423) 439-7280

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

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

117 W Sevier Ave
Ste 120
Kingsport, TN 37660
Phone (423) 230-4660

2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

Interoperability endpoints

  • Direct secure messaging: jgivens73209@balladhealth.medalliesdirect.net

Organizations & group practices 5

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 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1871634428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PAVILION DR STE 310",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604653",
            "telephone_number": "423-230-4660",
            "fax_number": "423-230-4669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Stone Dr",
            "address_2": "Suite 1F",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603256",
            "country_code": "US",
            "telephone_number": "423-230-2420",
            "fax_number": "423-230-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167379",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509990",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871634428",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.