Active NPI
Primary Care of Kingsport PLLC
- Family Medicine Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE OF KINGSPORT PLLC
- Practice address
- 2020 Meadowview Pkwy Ste 200
Kingsport, TN 37660-7388 - Phone
- (423) 678-1399
- Fax
- (423) 259-4964
- NPI assigned
- Jun 29, 2026
- Last updated
- Jun 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marissa Vito Cruz, MD
- Title
- Owner
- Phone
- (276) 870-1699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2020 Meadowview Pkwy Ste 200
Kingsport, TN 37660-7388
Mailing address
2020 Meadowview Pkwy Ste 200
Kingsport, TN 37660-7388
Phone (423) 678-1399
National Provider Directory
National Provider DirectoryLocations
2020 Meadowview Pkwy
Ste 200
Kingsport, TN 37660
Phone (423) 578-7878
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1922071448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1972429348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 MEADOWVIEW PKWY STE 200",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607388",
"telephone_number": "423-678-1399",
"fax_number": "423-259-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 MEADOWVIEW PKWY STE 200",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607388",
"telephone_number": "423-678-1399",
"fax_number": "423-259-4964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE OF KINGSPORT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "VITO CRUZ",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-870-1699",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.