Organization Active NPI

Nolichuckey Management Services, Inc

Doing business as Ballad Health Medical Associates

  • Family Medicine Physician
  • Greeneville, TN
National Provider Identifier
1972915759
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NOLICHUCKEY MANAGEMENT SERVICES, INC
Doing business as
Ballad Health Medical Associates
Laughlin Medical Group Primary Care
Practice address
1406 Tusculum Blvd
Suite 1200 a
Greeneville, TN 37745-4332
Phone
(423) 783-5512
Fax
(423) 783-5515
NPI assigned
May 28, 2014
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
John Mark Compton
Title
Cfo
Phone
(423) 783-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1406 Tusculum Blvd
Suite 1200 a
Greeneville, TN 37745-4332

Mailing address

2020 Brookside Dr
Kingsport, TN 37660-4633
Phone (423) 343-0434

Other names 3

  • Ballad Health Medical Associates Doing business as
  • Laughlin Medical Group Primary Care Doing business as
  • BHMA Family Medicine Greeneville Other name

National Provider Directory

National Provider Directory

Locations

1406 Tusculum Blvd
Ste 1200A
Greeneville, TN 37745
Phone (423) 538-5202

1410 Tusculum Blvd
Ste 1300
Greeneville, TN 37745
Phone (423) 783-5520

1410 Tusculum Blvd
Ste 1700
Greeneville, TN 37745
Phone (423) 783-5512

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1972915759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BROOKSIDE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604633",
            "telephone_number": "423-343-0434",
            "fax_number": "423-343-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200 A",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-783-5512",
            "fax_number": "423-783-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLICHUCKEY MANAGEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-783-5512"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballad Health Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laughlin Medical Group Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHMA Family Medicine Greeneville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.