KINGSPORT PRIMARY CARE, PC
NPI 1023186145
Clinic/Center - Primary Care in Kingsport, TN
About Kingsport Primary Care, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGSPORT PRIMARY CARE, PC (NPI 1023186145) is a healthcare organization registered as a primary care in Kingsport, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Scott D Mclain, Supervising Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D1018548
Kingsport Primary Care · Kingsport, TNOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kingsport Primary Care, PC's NPI number?
The NPI number for Kingsport Primary Care, PC is 1023186145. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is Kingsport Primary Care, PC located?
Kingsport Primary Care, PC is located at 1526 Bridgewater Ln, Kingsport, TN 37660. The listed phone number is (423) 246-0033.
What is Kingsport Primary Care, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Kingsport Primary Care, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D1018548) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kingsport Primary Care, PC was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kingsport Primary Care, Pc · NPI 1023186145
Primary Care organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1023186145 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Scott Mclain, SUPERVISING PHYSICIAN
## Practice location
- **Address:** 1526 BRIDGEWATER LN, Kingsport, TN 37660-4106
- **Phone:** (423) 246-0033 · **Fax:** (423) 245-0034
## Record status
- **NPPES last updated:** October 7, 2019
- **Other identifiers:** Other 2403604 (TN); Other 3732429 (TN); Medicaid 3732429 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023186145) · Data from the CMS NPPES public registry.