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CLINCHFIELD FAMILY MEDICINE, PLLC
NPI 1316228075
Clinic/Center - Primary Care in Kingsport, TN

Active since September 07, 2011CLIA 44D2030457 · Waiver
1936 BROOKSIDE DR STE E, KINGSPORT, TN 37660(423) 378-1500(423) 378-1520 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinchfield Family Medicine, Pllc NPPES

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

CLINCHFIELD FAMILY MEDICINE, PLLC (NPI 1316228075) is a healthcare organization registered as a primary care in Kingsport, Tennessee and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Holly Charlene Grigsby, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1316228075
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLINCHFIELD FAMILY MEDICINE, PLLC
Location Address1936 BROOKSIDE DR STE EKingsport, TN 37660-4654
Mailing Address1936 Brookside Dr Ste EKingsport, TN 37660-4654 · (423) 378-1500 · Fax (423) 378-1520
Phone(423) 378-1500
Fax(423) 378-1520
Organization SubpartNo
Authorized OfficialHolly Charlene GrigsbyOwner/medical Director · (423) 378-1500
Enumeration DateSeptember 7, 2011
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1316228075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · 0000042820
1936 BROOKSIDE DR STE E, Kingsport, TN 37660
Open in Google Maps ↗

Other Identifiers 2

Medicaid1316228075VA
Medicaid1527171TN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinchfield Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinchfield Family Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Holly Grigsby, MD
General Practice
NPI 1326138470
1936 BROOKSIDE DR STE E
Kingsport, TN 37660
(423) 378-1500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 44D2030457

Clinchfield Family Medicine · Kingsport, TN
Active · expires Sep 27, 2027
CLIA Number44D2030457
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorHolly Charlene Grigsby
Laboratory Phone(423) 378-1500
Laboratory LocationClinchfield Family Medicine1936 Brookside Drive, Suite E, Kingsport, TN 37660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinchfield Family Medicine, PLLC's NPI number?

The NPI number for Clinchfield Family Medicine, PLLC is 1316228075. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Clinchfield Family Medicine, PLLC located?

Clinchfield Family Medicine, PLLC is located at 1936 Brookside Dr Ste E, Kingsport, TN 37660. The listed phone number is (423) 378-1500.

What is Clinchfield Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Clinchfield Family Medicine, PLLC enrolled in Medicare?

Yes. Clinchfield Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinchfield Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Clinchfield Family Medicine, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinchfield Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2030457) is associated with this NPI, valid through September 27, 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 Clinchfield Family Medicine, PLLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.