HOLSTON MEDICAL GROUP PC
NPI 1831110667
Family Medicine in Kingsport, TN

Active since July 21, 2006CLIA 44D0717554 · Certificate of Compliance
105 W STONE DR, 3A, KINGSPORT, TN 37660(423) 392-6200(423) 392-6583 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Dec 18, 2018 (2 updates tracked since 2018).

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

NPI1831110667
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLSTON MEDICAL GROUP PC
Location Address105 W STONE DR, 3AKingsport, TN 37660-3256
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Fax(423) 392-6583
Organization SubpartNo
Authorized OfficialShawna ArmstrongCfo · (423) 857-2066
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1831110667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

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.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
105 W STONE DR, Kingsport, TN 37660

Other Identifiers 4

Medicaid3720182TN
Medicaid3720183TN
Medicaid3720184TN
Medicaid3720181TN

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

Accepted Insurance

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, TN
Active · expires Nov 29, 2026
CLIA Number44D0717554
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorDr. Warren L. Jones
Laboratory Phone(423) 239-5141
Laboratory LocationHolston Medical Group, PC Dba Holston Medical Group-Fort Henry4848 Fort Henry Drive, Kingsport, TN 37663
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
105 W STONE DR, STE 4C
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Durable Medical Equipment & Medical Supplies
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina 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 9 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.