1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Family Medicine
  6. NPI Profile

MOUNTAIN REGION FAMILY MEDICINE, PC
NPI 1710990601
Family Medicine in Kingsport, TN

Active since August 14, 2006
101 PROFESSIONAL PARK PVT DR, KINGSPORT, TN 37663(423) 239-7300(423) 239-8581 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2017, Dec 27, 2016 (2 updates tracked since 2016).

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 1710990601) is a healthcare organization registered as a family medicine in Kingsport, Tennessee and active in the NPI registry since August 2006. The organization lists Wanda Trent, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1710990601
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAIN REGION FAMILY MEDICINE, PC
Location Address101 PROFESSIONAL PARK PVT DRKingsport, TN 37663-2288
Mailing Address101 Professional Park Pvt DrKingsport, TN 37663-2288 · (423) 239-7300 · Fax (423) 239-8581
Phone(423) 239-7300
Fax(423) 239-8581
Organization SubpartNo
Authorized OfficialWanda TrentCorporate Secretary · (423) 230-2109
Enumeration DateAugust 14, 2006
Last NPPES UpdateDecember 14, 20172 updates tracked since enumeration
✔ NPI 1710990601 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.
101 PROFESSIONAL PARK PVT DR, Kingsport, TN 37663
Open in Google Maps ↗

Other Identifiers 3

Medicaid3706159TN
Other020189600TN · Fbl
Other31378070TN · Dol

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

Other Providers at the Same Location NPPES 6

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

MRS. MONNA J. NELMS NP
Nurse Practitioner (Family)
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663
Sullivan County (423) 239-7300
ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC
Radiology (Diagnostic Radiology)
101 PROFESSIONAL PARK PVT DR
COLONIAL HEIGHTS, TN 37663
Sullivan County (423) 239-7300
DR. ROGER W ARCHER DO
Family Medicine
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663
Sullivan County (423) 224-3350
MOUNTAIN REGION FAMILY MEDICINE, PC
Family Medicine
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663
Sullivan County (423) 230-7300
DR. PRESTON S DOUGLAS DC
Chiropractor
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663
Sullivan County (423) 239-9122
ELEVATE SPORT AND SPINE, LLC
Chiropractor
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663
Sullivan County (423) 239-9122

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 Mountain Region Family Medicine, PC's NPI number?

The NPI number for Mountain Region Family Medicine, PC is 1710990601. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Mountain Region Family Medicine, PC located?

Mountain Region Family Medicine, PC is located at 101 Professional Park Pvt Dr, Kingsport, TN 37663. The listed phone number is (423) 239-7300.

What is Mountain Region Family Medicine, PC'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 Mountain Region Family Medicine, PC was last updated on December 14, 2017. 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.