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TN DME
NPI 1073869442
Durable Medical Equipment & Medical Supplies in Kingsport, TN

Active since August 03, 2012CLIA Certified · 7 labs
105 W STONE DR, STE 3A, KINGSPORT, TN 37660(423) 392-6200(423) 392-6593 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tn Dme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TN DME (NPI 1073869442) is a healthcare organization registered as a durable medical equipment & medical supplies in Kingsport, Tennessee and active in the NPI registry since August 2012. The organization holds 7 active CLIA laboratory certificates and lists Alicia Wright, Md, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1073869442
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHOLSTON MEDICAL GROUP, PC
Location Address105 W STONE DR, STE 3AKingsport, TN 37660-3365
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Phone(423) 392-6200
Fax(423) 392-6593
Organization SubpartNo
Authorized OfficialAlicia WrightMd, Medical Director · (423) 857-2066
Enumeration DateAugust 3, 2012
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1073869442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

105 W STONE DR, Kingsport, TN 37660
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Other Names 1

Other NameTn Dme

CLIA Laboratory Certificates CMS CLIA 7

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 Compliance 44D1091000

Holston Medical Group, PC Dba Medical Plaza Family Practice · Kingsport, TN
Active · expires Apr 7, 2027
CLIA Number44D1091000
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorDr. Brian D. Shafer
Laboratory Phone(423) 392-6200
Laboratory LocationHolston Medical Group, PC Dba Medical Plaza Family Practice105 West Stone Drive, Suite 3A, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0993720

Holston Medical Group Medical Plaza Fifth Floor Laboratory · Kingsport, TN
Active · expires Feb 16, 2028
CLIA Number44D0993720
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Christopher Mitchell
Laboratory Phone(423) 247-7500
Laboratory LocationHolston Medical Group Medical Plaza Fifth Floor Laboratory105 West Stone Drive Suite 5D, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 44D1031701

Holston Medical Group, PC Dba Holston Medical Group Medical Plaza Urgent Care · Kingsport, TN
Active · expires Jun 22, 2027
CLIA Number44D1031701
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDr. Jonathan Blankenship
Laboratory Phone(423) 230-2420
Laboratory LocationHolston Medical Group, PC Dba Holston Medical Group Medical Plaza Urgent Care105 West Stone Dr Suite 1F, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 44D1064017

Holston Medical Group, PC Dba Holston Medical Group Medical Plaza Clinical Research · Kingsport, TN
Active · expires Jan 25, 2027
CLIA Number44D1064017
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDavid J. Morin
Laboratory Phone(423) 578-1568
Laboratory LocationHolston Medical Group, PC Dba Holston Medical Group Medical Plaza Clinical Research105 West Stone Drive, Suite 3A, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 44D0918595

Holston Medical Group PC Dba Holston Medical Group Medical Plaza Pediatrics · Kingsport, TN
Active · expires Sep 29, 2026
CLIA Number44D0918595
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorDr. Joseph A. Ley
Laboratory Phone(423) 230-2430
Laboratory LocationHolston Medical Group PC Dba Holston Medical Group Medical Plaza Pediatrics105 West Stone Drive Suite 2A, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 44D2028023

Holston Medical Group, PC Dba Holston Medical Group Meadowview Lane Odc · Kingsport, TN
Active · expires Aug 7, 2027
CLIA Number44D2028023
Laboratory TypeOutpatient Diagnostic Cen
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorJames D. Louthan
Laboratory Phone(423) 857-2800
Laboratory LocationHolston Medical Group, PC Dba Holston Medical Group Meadowview Lane Odc2033 Meadowview Lane, Suite 100, Kingsport, TN 37660
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DALLAS SHONE MD
Internal Medicine (Gastroenterology)
105 W STONE DR, STE 4C
KINGSPORT, TN 37660
Sullivan County (423) 578-1595
DR. EDWARD MONTY STIRMAN M.D.
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 323-6200
JERRY MILLER MD
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. CHERYL STANSKI MD
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Sullivan County (423) 392-6265
DR. SCOTT FOWLER M.D.
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 247-7500
DR. JAMES MCCOY M.D.
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Sullivan County (276) 386-5980
ABRAM ARWOOD PT, DPT
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660
Sullivan County (423) 578-1560
DR. ASHRAF MOHAMED YOUSSEF M.D.
Orthopaedic Surgery
105 W STONE DR, STE 4B
KINGSPORT, TN 37660
Sullivan County (423) 578-1570

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 Holston Medical Group, PC's NPI number?

The NPI number for Holston Medical Group, PC is 1073869442. It was assigned to this organization in the NPPES registry on August 3, 2012. The provider is also known as Tn Dme.

Where is Holston Medical Group, PC located?

Holston Medical Group, PC is located at 105 W Stone Dr Ste 3A, Kingsport, TN 37660. The listed phone number is (423) 392-6200.

What is Holston Medical Group, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Holston Medical Group, PC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Holston Medical Group, PC was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.