Individual provider Active NPI

Nicholas I McIntire

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1992383426
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71749 Issued in TN
Practice address
1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone
(423) 239-7300
Fax
(423) 239-7607
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71749 TN Primary

Addresses

Primary practice location

1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 239-7300

Other practice location 1

444 Clinchfield St Ste 202
Kingsport, TN 37660-3863
Phone (423) 723-2850

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
I20240801001400 TN Practitioner - Family Practice 3779985205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone (423) 239-7300

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

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

1242 W Shipley Ferry Rd
Kingsport, TN 37663
Phone (423) 239-7300

444 Clinchfield St
Ste 2500
Kingsport, TN 37660
Phone (423) 230-2500

444 Clinchfield St
Ste 202
Kingsport, TN 37660
Phone (423) 398-7020

444 Clinchfield St
Ste 2800
Kingsport, TN 37660
Phone (423) 230-2801

Interoperability endpoints

  • Direct secure messaging: nicholasmcintire@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1992383426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-239-7300",
            "fax_number": "423-239-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W SHIPLEY FERRY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633323",
            "telephone_number": "423-239-7300",
            "fax_number": "423-239-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Clinchfield St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603863",
            "country_code": "US",
            "telephone_number": "423-723-2850",
            "fax_number": "423-723-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "NICHOLAS",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "71749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.