HOLSTON MEDICAL GROUP PC
NPI 1831110667
Family Medicine in Kingsport, TN
About Holston Medical Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLSTON MEDICAL GROUP PC (NPI 1831110667) is a healthcare organization registered as a family medicine in Kingsport, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 29, 2026 and lists Shawna Armstrong, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holston Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
279Medicare enrollment records show 279 clinicians reassign Medicare billing to Holston Medical Group PC, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 129 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 279Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 44D0717554
Holston Medical Group, PC Dba Holston Medical Group-Fort Henry · Kingsport, TNFrequently 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 Holston Medical Group PC's NPI number?
The NPI number for Holston Medical Group PC is 1831110667. It was assigned to this organization in the NPPES registry on July 21, 2006.
Where is Holston Medical Group PC located?
Holston Medical Group PC is located at 105 W Stone Dr 3A, Kingsport, TN 37660. The listed phone number is (423) 392-6200.
What is Holston Medical Group PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Holston Medical Group PC enrolled in Medicare?
Yes. Holston Medical Group PC is registered in the Medicare PECOS enrollment system.
When is Holston Medical Group PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Tennessee, Physician - Family Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Holston Medical Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 279 clinicians in 24 Medicare specialties reassign their Medicare billing to Holston Medical Group PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (111), Family Practice (55) and Internal Medicine (18). Of these, 16 practice at this address and 129 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Holston Medical Group PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D0717554) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Holston Medical Group PC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Holston Medical Group PC 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.
When was this NPI record last updated?
The NPPES record for Holston Medical Group PC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holston Medical Group Pc · NPI 1831110667
Family Medicine organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1831110667 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shawna Armstrong, CFO
## Practice location
- **Address:** 105 W STONE DR, 3A, Kingsport, TN 37660-3256
- **Phone:** (423) 392-6200 · **Fax:** (423) 392-6583
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Tennessee, Physician - Family Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 279 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (111), Family Practice (55), Internal Medicine (18); 16 practice at this address and 129 within 10 miles; [full list](https://npiprofile.com/npi/1831110667/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2025
- **Other identifiers:** Medicaid 3720182 (TN); Medicaid 3720183 (TN); Medicaid 3720184 (TN); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831110667) · Data from the CMS NPPES public registry.