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KINGSPORT PRIMARY HEALTHCARE, LLC
NPI 1679074892
Family Medicine in Kingsport, TN

Active since February 22, 2018
1526 BRIDGEWATER LN, KINGSPORT, TN 37660(423) 246-0033(423) 245-0034 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kingsport Primary Healthcare, Llc NPPES

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

KINGSPORT PRIMARY HEALTHCARE, LLC (NPI 1679074892) is a healthcare organization registered as a family medicine in Kingsport, Tennessee and active in the NPI registry since February 2018. The organization lists Stan Mclain, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679074892
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKINGSPORT PRIMARY HEALTHCARE, LLC
Location Address1526 BRIDGEWATER LNKingsport, TN 37660-4106
Mailing Address4980 Randel RdOneida, NY 13421-3515 · (315) 363-6325 · Fax (315) 363-6325
Phone(423) 246-0033
Fax(423) 245-0034
Organization SubpartNo
Authorized OfficialStan MclainMedical Director · (313) 363-6325
Enumeration DateFebruary 22, 2018
✔ NPI 1679074892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD39507
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.
1526 BRIDGEWATER LN, Kingsport, TN 37660
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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

Other Providers at the Same Location NPPES 4

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

KINGSPORT PRIMARY CARE, PC
Clinic/Center (Primary Care)
1526 BRIDGEWATER LN
KINGSPORT, TN 37660
Sullivan County (423) 246-0033
DR. RONALD W HUNTER MD
Family Medicine
1526 BRIDGEWATER LN
KINGSPORT, TN 37660
Sullivan County (423) 245-0034
SCOTT D MCLAIN MD
Family Medicine
1526 BRIDGEWATER LN
KINGSPORT, TN 37660
Sullivan County (423) 246-0033
MR. THOMAS ISAAC DYKES DPT
Physical Therapist
1526 BRIDGEWATER LN
KINGSPORT, TN 37660
Sullivan County (423) 586-6866

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 Kingsport Primary Healthcare, LLC's NPI number?

The NPI number for Kingsport Primary Healthcare, LLC is 1679074892. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Kingsport Primary Healthcare, LLC located?

Kingsport Primary Healthcare, LLC is located at 1526 Bridgewater Ln, Kingsport, TN 37660. The listed phone number is (423) 246-0033.

What is Kingsport Primary Healthcare, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kingsport Primary Healthcare, LLC was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.