1. Home
  2. Directory
  3. Tennessee
  4. Mountain Home
  5. Internal Medicine
  6. NPI Profile

DR. JAMES TRAVIS SEXTON D.O.
NPI 1487997995
Internal Medicine in Mountain Home, TN

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
809 LAMONT ST, MOUNTAIN HOME, TN 37684(423) 926-1171 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2021, Mar 17, 2018, Jul 27, 2017 and 1 more (4 updates tracked since 2016).

About Dr. James Travis Sexton D.o. NPPES

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

DR. JAMES TRAVIS SEXTON D.O. (NPI 1487997995) is an individual internal medicine provider in Mountain Home, Tennessee, licensed in Tennessee (DO2976) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487997995
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES TRAVIS SEXTONCredential: D.O.
Location Address809 LAMONT STMountain Home, TN 37684
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2093 · Fax (423) 390-3340
Phone(423) 926-1171
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJune 9, 20214 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1487997995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · DO2976
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
809 LAMONT ST, Mountain Home, TN 37684
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1325 N. State of FranklinJohnson City, TN 37614 · Phone (423) 439-6283
Location 2105 W Stone Dr Ste 1JKingsport, TN 37660-3365 · Phone (423) 857-2093

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Travis Sexton D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729346044
PECOS Enrollment IDI20180124002679
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show James Sexton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holston Medical Group PC
20 mi
Medical Laboratory
105 W STONE DR, 1H
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
NPI 1356405120 (423) 392-6200
Summit Medical Group, PLLC
25 mi
Family Medicine
5000 MONARCH PT
Greeneville, TN 37745
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
NPI 1932288594 (423) 639-2161
App Of Tennessee Hm, PLLC
234 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

KATHERINE KUHLKEN MASON PH.D.
Psychologist (Clinical)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 926-1171
CHRISTINA ANN CRAFT FNP
Nurse Practitioner (Primary Care)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 926-1171
MR. ANTHONY DALE WHITING FNP-BC
Nurse Practitioner (Family)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 926-1171
TYLER NICHOLS PT, DPT
Physical Therapist
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 926-1171
SAMUEL NEKVASIL
Psychologist (Counseling)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 926-1171
THOMAS J HELTON IV D.O.
Internal Medicine (Interventional Cardiology)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 926-1171
KATIE ROE LMSW
Social Worker
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 979-2605
CHRISTOPHER NEIL RAMSEUR LCSW, LCAS, CAADC
Social Worker (Clinical)
809 LAMONT ST
MOUNTAIN HOME, TN 37684
Washington County (423) 916-1171

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 James Sexton's NPI number?

The NPI number for James Sexton is 1487997995. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is James Sexton located?

James Sexton practices at 809 Lamont St, Mountain Home, TN 37684. The listed phone number is (423) 926-1171.

What is James Sexton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Sexton enrolled in Medicare?

Yes. James Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sexton reassigns Medicare benefits to 3 organizations: Holston Medical Group PC (Kingsport, TN), Summit Medical Group, PLLC (Greeneville, TN) and App Of Tennessee Hm, PLLC (Shelbyville, TN). Each 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 James Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Sexton accept?

Health plans from Cigna Healthcare list James Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Sexton affiliated with any hospitals?

According to CMS data, James Sexton is affiliated with Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for James Sexton was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.