MOUNTAIN REGION FAMILY MEDICINE, PC
NPI 1316572530
Family Medicine in Gate City, VA

Q: What is Mountain Region Family Medicine, PC's NPI number?

The NPI number for Mountain Region Family Medicine, PC is 1316572530. It was assigned to this organization in the NPPES registry on March 9, 2020. The provider is also known as MRFM- Gate City Weekend Clinic.

Q: What is Mountain Region Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 09, 2020CLIA Certified · 4 labs

390 KANE ST, GATE CITY, VA 24251(276) 386-3411(276) 386-3492 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mountain Region Family Medicine, Pc NPPES

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

MOUNTAIN REGION FAMILY MEDICINE, PC (NPI 1316572530) is a healthcare organization registered as a family medicine in Gate City, Virginia and active in the NPI registry since March 2020. The organization holds 4 active CLIA laboratory certificates and lists Wanda Trent, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1316572530

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMOUNTAIN REGION FAMILY MEDICINE, PC

Location Address390 KANE STGate City, VA 24251-2753

Mailing Address444 Clinchfield St Ste 201Kingsport, TN 37660-3863 · (423) 230-2113 · Fax (423) 230-2112

Phone(276) 386-3411

Fax(276) 386-3492

Organization SubpartNo

Authorized OfficialWanda TrentCorporate Secretary · (423) 230-2109

Enumeration DateMarch 9, 2020

NPPES CertifiedMarch 9, 2020

✔ NPI 1316572530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

390 KANE ST, Gate City, VA 24251

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Other Names 1

Other NameMrfm- Gate City Weekend Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

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 49D0232253

Mountain Region Family Medicine · Gate City, VA

Active · expires Jan 9, 2027

CLIA Number49D0232253

Laboratory TypePhysician Office

Certificate Effective DateJanuary 10, 2025

Certificate Expiration DateJanuary 9, 2027

Laboratory DirectorLeslie Brooke Mcnew-Hall

Laboratory Phone(276) 386-3411

Laboratory LocationMountain Region Family Medicine390 Kane Street, Gate City, VA 24251

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2297237

Mountain Region Family Medicine, Suite 2800 · Kingsport, TN

Active · expires Jan 11, 2028

CLIA Number44D2297237

Laboratory TypePhysician Office

Certificate Effective DateJanuary 12, 2026

Certificate Expiration DateJanuary 11, 2028

Laboratory DirectorNicholas Mcintire

Laboratory Phone(423) 230-2807

Laboratory LocationMountain Region Family Medicine, Suite 2800444 Clinchfield Street, Suite 2800, Kingsport, TN 37660

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2297133

Mountain Region Family Medicine · Kingsport, TN

Active · expires Jan 10, 2028

CLIA Number44D2297133

Laboratory TypePhysician Office

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorNicholas Mcintire

Laboratory Phone(423) 230-2700

Laboratory LocationMountain Region Family Medicine444 Clinchfield Street, Suite 2700, Kingsport, TN 37660

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2284518

Mountain Region Family Medicine, Suite 2500 · Kingsport, TN

Active · expires Jun 22, 2027

CLIA Number44D2284518

Laboratory TypePhysician Office

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorNicholas Mcintire

Laboratory Phone(423) 230-2500

Laboratory LocationMountain Region Family Medicine, Suite 2500444 Clinchfield St Ste 2500, 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 5

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

CHRISTINA MILLINGER NP

Nurse Practitioner (Family)