CLINCHFIELD FAMILY MEDICINE, PLLC (NPI# 1316228075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316228075 |
| Entity Type | Organization |
| Organization Name | CLINCHFIELD FAMILY MEDICINE, PLLC |
| Practice Address |
2204 Pavilion Dr Suite 110 Kingsport TN 37660-4657 |
| Practice Telephone | 4233781500 |
| Practice Fax Number | 4233781520 |
| Mailing Telephone | 4233781500 |
| Mailing Fax Number | 4233781520 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | HOLLY CHARLENE GRIGSBY (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4233781500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0000042820 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1316228075 | 05 | |
| TN | 1527171 | 05 |
| Street Address |
2204 PAVILION DR SUITE 110 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226737 | Rebecca Jane Hamilton | Nurse Practitioner | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2005-09-21 |
| 1720468200 | Mountain States Health Alliance | General Acute Care Hospital | 2204 Pavilion Dr, Suite 115, Kingsport, TN 37660-4657 | 2015-06-01 |
| 1821402728 | Sullivan Specialty Pharmacy | Pharmacy | 2204 Pavilion Dr, Suite 105, Kingsport, TN 37660-4657 | 2014-06-18 |
| 1568703437 | Lauren Musick | Pharmacist | 2204 Pavilion Dr, Suite 105, Kingsport, TN 37660-4657 | 2013-03-02 |
| 1619265550 | Tennessee Anesthesiology LLC | Nurse Anesthetist, Certified Registered | 2204 Pavilion Dr, Suite 105, Kingsport, TN 37660-4657 | 2011-07-13 |
| 1396049938 | Blue Ridge Medical Management Corporation | Pediatrics | 2204 Pavilion Dr, Suite 210, Kingsport, TN 37660-4657 | 2010-12-22 |
| 1730401209 | Blue Ridge Medical Management Corporation | Family Medicine | 2204 Pavilion Dr, Suite 310, Kingsport, TN 37660-4653 | 2010-02-24 |
| 1518289206 | James Bradley Gaither | Nurse Anesthetist, Certified Registered | 2204 Pavilion Dr, Suite 105, Kingsport, TN 37660-4657 | 2010-02-22 |
| 1265763668 | Lauren Ambrosia Daley | Nurse Practitioner | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2010-01-25 |
| 1902088644 | James W Denham | Pathology | 2204 Pavilion Dr, Kingsport, TN 37660-4657 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730668575 | Kingsport Family Medical Care Pllc | Clinic/Center | 935 Wilcox Ct Ste 115, Kingsport, TN 37660-5170 | 2018-08-13 |
| 1801262795 | Carehere LLC | Clinic/Center | 1324 Midland Dr, Kingsport, TN 37664-3044 | 2015-08-14 |
| 1891109609 | Trinity Medical Services | Clinic/Center | 151 Wendover Dr, Kingsport, TN 37663-2655 | 2014-06-19 |
| 1912194028 | Holston Regional Alternative Medicine | Clinic/Center | 1303 E Center St, Kingsport, TN 37664-2444 | 2007-10-02 |
| 1871954628 | Friends In Need Health Center | Clinic/Center | 1105 W Stone Dr, Suite 2, Kingsport, TN 37660-2558 | 2016-03-08 |
| 1679741532 | Holston Regional Comprehensive Medicine | Clinic/Center | 1303 E Center St, Kingsport, TN 37664-2444 | 2008-02-13 |
| 1023186145 | Kingsport Primary Care, PC | Clinic/Center | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 2006-11-30 |
| 1639246101 | David H Franzus M D | Clinic/Center | 121 E Ravine Rd, Suite 700, Kingsport, TN 37660-3816 | 2006-11-29 |
| 1922171149 | Cynthia Poortenga, Md PC | Clinic/Center | 121 E Ravine Rd, Ste 900, Kingsport, TN 37660-3816 | 2006-11-16 |
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| 1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
| 1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
| 1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.