Active NPI
Jamie Givens, NP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509990 | Medicaid | TN | |
| 1871634428 | Medicaid | VA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12007 | TN | MD | Family Nurse Practitioner |
| 0024167379 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Health System | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Nurse Practitioner | Current | Accepting new patients |
| Medical Education Assistance Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | 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
- 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.
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Nurse Practitioner
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1154789030
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.