HOLSTON MEDICAL GROUP, PC
NPI 1205554664
Internal Medicine - Sports Medicine in Johnson City, TN
NPI Status: Active since August 19, 2022
Contact Information
3019 PEOPLES STREET
CONDO 300
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 461-2100
- Organization
- Internal Medicine
- Sports Medicine
- CLIA Number: 44D2145607
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-09-2027
About HOLSTON MEDICAL GROUP, PC
This page provides the complete NPI Profile along with additional information for Holston Medical Group, Pc, an internist established in Johnson City, Tennessee operating as a Internal Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1205554664 assigned on August 2022. The practitioner's primary taxonomy code is 207RS0010X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Holston Medical Group, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Audra Lawson (Contract Analyst)
- NPI
- 1205554664
- Provider Name
- HOLSTON MEDICAL GROUP, PC
- Entity Type
- Organization
- Location Address
- 3019 PEOPLES STREET CONDO 300 JOHNSON CITY, TN 37604
- Location Phone
- (423) 461-2100
- Mailing Address
- PO BOX 9 KINGSPORT, TN 37662
- Mailing Phone
- (423) 857-2066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2022
- Last Update Date
- 08-19-2022
- Code Navigator
An internist like Holston Medical Group, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Sports Medicine
- Taxonomy Code
- 207RS0010X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2145607
- Facility Type
- Physician Office
- Certificate Effective Date
- November 10, 2025
- Certificate Expiration Date
- November 09, 2027
- Laboratory Director
- DR. CYNTHIA P. PARTAIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Holston Medical Group, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205554664, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
JOHNSON CITY, TN 37604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205554664, enumerated as an "organization" on August 19, 2022.
The provider is located at 3019 PEOPLES STREET CONDO 300 JOHNSON CITY, TN 37604 and the phone number is (423) 461-2100.
Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.
