NPIMap

Individual provider Active NPI

Holly Dillon Dockery, DNP, AGPCNP-BC, RN

  • Gerontology Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1992221139
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
23021 Issued in TN
Practice address
2205 Pavilion Dr Ste 101
Kingsport, TN 37660-4641
Phone
(423) 857-6466
NPI assigned
Aug 18, 2017
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 23021 TN Primary
Registered Nurse 163W00000X 176207 TN

Addresses

Primary practice location

2205 Pavilion Dr Ste 101
Kingsport, TN 37660-4641

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

215 E Watauga Ave # 100
Johnson City, TN 37601-4629
Phone (423) 388-3643

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hdockery88948@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213000785 TN Practitioner - Nurse Practitioner 6103184544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

2205 Pavilion Dr
Suite 101
Kingsport, TN 37660-4641
Phone (423) 392-6000

4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
176207TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Advocate Integrated Medical CurrentSince Dec 3, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 11, 2022 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 11, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

215 E Watauga Ave
Ste 100
Johnson City, TN 37601
Phone (423) 388-3643

1916 Brookside Dr
Kingsport, TN 37660
Phone (423) 392-6000

2205 Pavilion Dr
Ste 101
Kingsport, TN 37660
Phone (423) 392-6000

Interoperability endpoints

  • Direct secure messaging: hdockery88948@balladhealth.medalliesdirect.net

Organizations & group practices 7

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 10

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1992221139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PAVILION DR STE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604641",
            "telephone_number": "423-857-6466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Watauga Ave # 100",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376014629",
            "country_code": "US",
            "telephone_number": "423-388-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "HOLLY",
        "middle_name": "DILLON",
        "name_prefix": "Dr.",
        "credential": "DNP, AGPCNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "23021",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "176207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdockery88948@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1916 Brookside Dr",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376604602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.