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HOLSTON MEDICAL GROUP, PC
NPI 1205554664
Internal Medicine - Sports Medicine in Johnson City, TN

Active since August 19, 2022CLIA 44D2145607 · Certificate of Compliance
3019 PEOPLES STREET, CONDO 300, JOHNSON CITY, TN 37604(423) 461-2100 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holston Medical Group, Pc NPPES

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

HOLSTON MEDICAL GROUP, PC (NPI 1205554664), doing business as Hmg Primary Care/specialists At Johnson City, is a healthcare organization registered as a sports medicine in Johnson City, Tennessee and active in the NPI registry since August 2022. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2027 and lists Audra Lawson, Contract Analyst, as its authorized official.

NPPES Registry Identity

NPI1205554664
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameHOLSTON MEDICAL GROUP, PC
Location Address3019 PEOPLES STREET, CONDO 300Johnson City, TN 37604
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066
Phone(423) 461-2100
Organization SubpartNo
Authorized OfficialAudra LawsonContract Analyst · (423) 857-2066
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1205554664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
Definition
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.
Also ListedPodiatristTaxonomy 213E00000X
3019 PEOPLES STREET, Johnson City, TN 37604
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Other Names 1

Doing Business AsHmg Primary Care/specialists At Johnson City

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Compliance 44D2145607

Holston Medical Group, PC Dba Hmg Primary Care At Johnson City · Johnson City, TN
Active · expires Nov 9, 2027
CLIA Number44D2145607
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorDr. Cynthia P. Partain
Laboratory Phone(423) 461-2100
Laboratory LocationHolston Medical Group, PC Dba Hmg Primary Care At Johnson City3019 Peoples Street Suite 300, Johnson City, TN 37604
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.

Other Providers at the Same Location NPPES

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

HOLSTON MEDICAL GROUP, PC
Orthopaedic Surgery
3019 PEOPLES STREET, CONDO 300, STE 2B
JOHNSON CITY, TN 37604
Washington 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 1205554664. It was assigned to this organization in the NPPES registry on August 19, 2022. The provider is doing business as HMG Primary Care/Specialists at Johnson City.

Where is Holston Medical Group, PC located?

Holston Medical Group, PC is located at 3019 Peoples Street Condo 300, Johnson City, TN 37604. The listed phone number is (423) 461-2100.

What is Holston Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Does Holston Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2145607) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holston Medical Group, PC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.