Mediserve Medical Equipment of Kingsport, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.

Doing business as

Ballad Health Medical Equipment

Practice address

1183 Spratlin Park Dr
Gray, TN 37615-6205

Phone

(423) 477-9806

Fax

(423) 477-3571

NPI assigned

Oct 26, 2006

Last updated

Jul 17, 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

Gregory J Crawford

Title

President

Phone

(859) 300-6455

Specialties & licenses 1

Addresses

Other names 1

• Ballad Health Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mediserve Medical Equipment of Kingsport, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Norton, VA
  • NPI 1568087294

  3678691243

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mediserve Med Equip-KSPT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mediserve Medical Equipment of Kingsport, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Norton, VA
  • NPI 1568087294
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Blue Ridge Medical Management Corpoartion

  dba MSMG Ortho ELIZ

  • Orthopaedic Surgery Physician
  • Elizabethton, TN
  • NPI 1336442649

  Member Of

  NPD member
• Mountain States Health Alliance

  dba Johnson City Medical Center

  • Psychiatric Hospital Unit
  • Johnson City, TN
  • NPI 1962915652

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1962587832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-477-9806",
            "fax_number": "423-477-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-300-6455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballad Health Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Lee Marshall, BSS
• Elizabeth McFarland, MS, LPC/MHSP
• Leslie Anne Lowe Meade, BSW
• Medical Education Assistance Corporation
• Medical Education Assistance Corporation
• Michael a. Wolf
• Nicole M Miller, MD
• Craig Paul Moorhouse, ATC
• Sarah Morgan, DPT
• Leah Moseley

• Durable Medical Equipment & Medical Supplies in Gray, TN
• Providers in Gray, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.