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HOLSTON VALLEY MEDICAL CENTER
NPI 1982634440
Emergency Medicine in Kingsport, TN

Active since July 03, 2006
130 W RAVINE RD, KINGSPORT, TN 37662(423) 224-4000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holston Valley Medical Center NPPES

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

HOLSTON VALLEY MEDICAL CENTER (NPI 1982634440) is a healthcare organization registered as an emergency medicine in Kingsport, Tennessee and active in the NPI registry since July 2006. The organization lists Alice Pope, Vp, Finance And Operations, as its authorized official.

NPPES Registry Identity

NPI1982634440
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWELLMONT HEALTH SYSTEM, INC
Location Address130 W RAVINE RDKingsport, TN 37662
Mailing Address551 Main StJohnstown, PA 15901-2032 · (814) 539-5724 · Fax (814) 536-7092
Phone(423) 224-4000
Organization SubpartNo
Authorized OfficialAlice PopeVp, Finance And Operations · (423) 224-5263
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982634440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
130 W RAVINE RD, Kingsport, TN 37662
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Other Names 1

Doing Business AsHolston Valley Medical Center

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

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 Valley Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20031223000853Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Holston Valley Medical Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Stephanie Cooper, FNP
Nurse Practitioner
NPI 1487052429
405 SCENIC DR STE B
Rogersville, TN 37857
(423) 272-2111
✔ PECOS✔ Accepts Medicare28 mi
Natalie Campbell, DO
Family Practice
NPI 1770076499
1519 MAIN ST
Sneedville, TN 37869
(423) 733-5070
✔ PECOS✔ Accepts Medicare37 mi
Lisa Williams-Gunter, FNP
Nurse Practitioner
NPI 1881010908
391 COURT SQ
Sneedville, TN 37869
(423) 733-2121
✔ PECOS✔ Accepts Medicare37 mi
Crystal Stiltner, DO
Family Practice
NPI 1366823460
1405 S SIZER AVE STE E
Jefferson City, TN 37760
(865) 647-3400
✔ PECOS✔ Accepts Medicare61 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wellmont Health System, Inc's NPI number?

The NPI number for Wellmont Health System, Inc is 1982634440. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Holston Valley Medical Center.

Where is Wellmont Health System, Inc located?

Wellmont Health System, Inc is located at 130 W Ravine Rd, Kingsport, TN 37662. The listed phone number is (423) 224-4000.

What is Wellmont Health System, Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Wellmont Health System, Inc enrolled in Medicare?

Yes. Wellmont Health System, Inc is registered in the Medicare PECOS enrollment system.

When is Wellmont Health System, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Wellmont Health System, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wellmont Health System, Inc, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellmont Health System, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.