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VITAL PATH MEDICAL GROUP LLC
NPI 1700747821
Nurse Practitioner - Family in South Pittsburg, TN

Active since November 19, 2025
4495 S PITTSBURG MOUNTAIN RD, SOUTH PITTSBURG, TN 37380(423) 883-2262 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vital Path Medical Group Llc NPPES

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

VITAL PATH MEDICAL GROUP LLC (NPI 1700747821) is a healthcare organization registered as a family in South Pittsburg, Tennessee and active in the NPI registry since November 2025. The organization lists Kristin Michelle Flake, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1700747821
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITAL PATH MEDICAL GROUP LLC
Location Address4495 S PITTSBURG MOUNTAIN RDSouth Pittsburg, TN 37380-6191
Mailing Address4495 S Pittsburg Mountain RdSouth Pittsburg, TN 37380-6191 · (423) 883-2262
Phone(423) 883-2262
Organization SubpartNo
Authorized OfficialKristin Michelle FlakeNurse Practitioner · (423) 883-2262
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1700747821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4495 S PITTSBURG MOUNTAIN RD, South Pittsburg, TN 37380
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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

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 Vital Path Medical Group LLC's NPI number?

The NPI number for Vital Path Medical Group LLC is 1700747821. It was assigned to this organization in the NPPES registry on November 19, 2025.

Where is Vital Path Medical Group LLC located?

Vital Path Medical Group LLC is located at 4495 S Pittsburg Mountain Rd, South Pittsburg, TN 37380. The listed phone number is (423) 883-2262.

What is Vital Path Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vital Path Medical Group LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.