Individual provider Active NPI

Jessica Elise Pugh, MD

  • Obstetrics & Gynecology Physician
  • Kingsport, TN
National Provider Identifier
1982047650
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
55537 Issued in TN
Practice address
105 W Park Dr
Kingsport, TN 37660-3805
Phone
(423) 224-3220
NPI assigned
Apr 12, 2013
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 55537 TN Primary
Hospitalist Physician 208M00000X 55537 TN

Addresses

Primary practice location

105 W Park Dr
Kingsport, TN 37660-3805

Mailing address

105 W Park Dr
Kingsport, TN 37660-3805
Phone (423) 224-3220

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711004029 TN Practitioner - Obstetrics/Gynecology 6406102052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Takoma Regional Hospital IncGroup PAC ID 8729189295, 28 clinicians

Practice addresses (Care Compare)

1424 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 783-5560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55537TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Obstetrics & Gynecology CurrentSince Dec 29, 2021 Accepting new patients
Takoma Regional Hospital, Inc CurrentSince Jul 1, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Jan 3, 2018 Accepting new patients
Sumner Physician Practices LLC CurrentSince Jan 3, 2018 Accepting new patients
Takoma Regional Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Wellmont Medical Associates Inc Obstetrics & Gynecology CurrentSince Oct 1, 2021 Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients

Locations

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

300 Steam Plant Rd
Ste 210
Gallatin, TN 37066
Phone (615) 328-3700

300 Steam Plant Rd
Ste 270
Gallatin, TN 37066
Phone (615) 230-6435

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

105 W Park Dr
Kingsport, TN 37660
Phone (423) 224-3220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2002 Brookside Dr
Ste 300
Kingsport, TN 37660
Phone (423) 392-6370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1982047650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W PARK DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603805",
            "telephone_number": "423-224-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W PARK DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603805",
            "telephone_number": "423-224-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "JESSICA",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "55537",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "55537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.