HEATHER NEWMAN MD
NPI 1699014068
Family Medicine in Mountain City, TN

Active since February 05, 2013PECOS EnrolledAccepts Medicare Assignment
222 OAK ST, MOUNTAIN CITY, TN 37683(423) 727-6319(423) 727-4164 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2019, Dec 27, 2018, Jun 28, 2018 and 1 more (4 updates tracked since 2018).

About Heather Newman Md NPPES

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

HEATHER NEWMAN MD (NPI 1699014068) is an individual family medicine provider in Mountain City, Tennessee, licensed in Tennessee (57011) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699014068
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER NEWMANCredential: MD
Location Address222 OAK STMountain City, TN 37683
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 727-6319 · Fax (423) 727-4164
Fax(423) 727-4164
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2015
Enumeration DateFebruary 5, 2013
Last NPPES UpdateJanuary 24, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
NPI 1699014068 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 · 57011
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.
222 OAK ST, Mountain City, TN 37683

Other Names 1

Former Name (1)Heather Marie Walls Md

Secondary Practice Locations 3

Location 1102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600 · Fax (423) 245-9634
Location 2917 W Walnut StJohnson City, TN 37604-6527 · Phone (423) 439-6464
Location 3208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050

Other Identifiers 1

MedicaidQ036999TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Newman Md 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 ID4587913785
PECOS Enrollment IDI20180821003814
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 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 37683 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims12 services$52.86 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$17.32 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$54.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
222 OAK ST
MOUNTAIN CITY, TN 37683
Nurse Practitioner (Family)
222 OAK ST
MOUNTAIN CITY, TN 37683
Physician Assistant
222 OAK ST
MOUNTAIN CITY, TN 37683
Physician Assistant
222 OAK ST
MOUNTAIN CITY, TN 37683
Clinic/Center (Federally Qualified Health Center (FQHC))
222 OAK ST
MOUNTAIN CITY, TN 37683
Physician Assistant
222 OAK ST
MOUNTAIN CITY, TN 37683
Family Medicine
222 OAK ST
MOUNTAIN CITY, TN 37683
Dentist
222 OAK ST
MOUNTAIN CITY, TN 37683

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 Heather Newman's NPI number?

The NPI number for Heather Newman is 1699014068. It was assigned to this individual provider in the NPPES registry on February 5, 2013. The provider is also known as Heather Marie Walls MD.

Where is Heather Newman located?

Heather Newman practices at 222 Oak St, Mountain City, TN 37683. The listed phone number is (423) 727-6319.

What is Heather Newman's specialty?

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

Is Heather Newman enrolled in Medicare?

Yes. Heather Newman 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.

What insurance does Heather Newman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Heather Newman 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 Heather Newman affiliated with any hospitals?

According to CMS data, Heather Newman is affiliated with Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Newman was last updated on January 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.