Active NPI
Alan V Meade, PT
- Physical Therapist
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1059
- Practice address
- 105 W Stone Dr
Ste 1C
Kingsport, TN 37660-3256 - Phone
- (423) 578-1560
- NPI assigned
- Jun 9, 2005
- Last updated
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1059 | TN | Primary |
Addresses
Primary practice location
105 W Stone Dr
Ste 1C
Kingsport, TN 37660-3256
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3658820 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- East Tennessee State University Quillen College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 W Stone Dr
Kingsport, TN 37660-3256
121 Advanced Technology Dr
Duffield, VA 24244-5126
Phone (276) 431-2648
240 Medical Park Blvd
Suite 1400
Bristol, TN 37620-7350
Phone (423) 274-6366
3019 Peoples St
Unit 300
Johnson City, TN 37604-1978
Phone (423) 461-2100
322 Steeles Rd
Bristol, TN 37620-9532
Phone (423) 217-1360
350 Steeles Rd
Unit 1
Bristol, TN 37620-9532
Phone (423) 844-4925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Physical Therapist | Current | Accepting new patients |
Locations
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900
121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648
495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700
1754 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-5980
Interoperability endpoints
- alanmeade@hmgpath.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Kingsport, TN
- NPI 1831110667
Physical Therapist, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1972507820",
"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": "STE 1C",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603256",
"telephone_number": "423-578-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "ALAN",
"middle_name": "V",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "1059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3658820",
"state": "TN"
}
],
"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 Sep 22, 2009; 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.