WELLMONT MEDICAL ASSOCIATES, INC. (NPI# 1598124398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598124398 |
| Entity Type | Organization |
| Organization Name | WELLMONT MEDICAL ASSOCIATES, INC. |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
111 W Stone Dr Suite 110 Kingsport TN 37660-6027 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4232243701 |
| Practice Fax Number | 4232243709 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | CINDY L HALLFORD (DIRECTOR OF PROFESSIONAL BILLING) |
| Authorized Official Telephone | 4234087220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
| 1558812198 | Wellmont Medical Associates, Inc. | Clinic/Center | 2686 W State St, Bristol, TN 37620-1817 | 2016-10-19 |
| 1144770934 | Wellmont Medical Associates, Inc. | Clinic/Center | 115 Judge Gresham Rd, Suite A, Gray, TN 37615-6213 | 2016-10-05 |
| 1104286194 | Wellmont Medical Associates, Inc. | Clinical Medical Laboratory | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 | 2016-03-03 |
| 1770942575 | Wellmont Medical Associates, Inc. | Clinic/Center | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 | 2016-02-22 |
| 1295193183 | Wellmont Medical Associates, Inc. | Clinic/Center | 410 Stagecoach Rd, Bristol, VA 24201-8359 | 2016-02-05 |
| 1639537525 | Wellmont Medical Associates, Inc. | Clinic/Center | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2016-02-05 |
| 1154789030 | Wellmont Medical Associates, Inc. | Clinic/Center | 378 Marketplace Dr, Suite 5, Johnson City, TN 37604-2361 | 2016-02-05 |
| 1003274994 | Wellmont Medical Associates, Inc. | Clinic/Center | 601 Commonwealth Dr, Norton, VA 24273-4053 | 2016-02-05 |
| 1447618335 | Wellmont Medical Associates, Inc. | Clinic/Center | 344 Overlook Dr, Lebanon, VA 24266-3436 | 2016-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLMONT MEDICAL ASSOCIATES, INC. | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
| Street Address |
111 W STONE DR SUITE 110 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284314 | Robert Northrop | Family Medicine | 111 W Stone Dr, Ste 200, Kingsport, TN 37660-6027 | 2005-06-10 |
| 1720685217 | Shayla Atkins Kilgore | Nurse Practitioner | 111 W Stone Dr, Kingsport, TN 37660-6027 | 2020-10-07 |
| 1356891493 | Heather N Ketron | Registered Nurse | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-10-13 |
| 1063962728 | Amanda A. Cantwell | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-10-06 |
| 1346693868 | Keressa L. Clark | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-07-20 |
| 1184077158 | Kayla J Joyce | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-07-14 |
| 1093165102 | Kathryn A. Harris | Registered Nurse | 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 | 2016-06-20 |
| 1609239425 | Courtney L Bowles | Nurse Practitioner | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-03-30 |
| 1760848204 | Kenneth S Burnette | Registered Nurse | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-01-14 |
| 1285006304 | Nekisha S. Johnson | Registered Nurse | 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 | 2015-10-28 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518309 | Blue Ridge Medical Managgement Corporation | Clinic/Center | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-01-30 |
| 1982882379 | Blue Ridge Medical Management Corporation | Clinic/Center | 1101 E Stone Dr, Suite 2, Kingsport, TN 37660-3384 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749906 | Three Rivers Medical | Clinic/Center | 2725 E Governor John Sevier Hwy, Knoxville, TN 37914-6620 | 2020-04-22 |
| 1487273702 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 1632 Memorial Blvd Ste 1646, Murfreesboro, TN 37129-2104 | 2020-04-16 |
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1194380568 | Advanced Urgent Care Pllc | Clinic/Center | 455 N Chancery St Ste A, Mcminnville, TN 37110-2049 | 2019-05-01 |
| 1295208874 | Lwc Sevice Providers LLP | Clinic/Center | 111 Ellison Rd Ste 2, La Follette, TN 37766-3025 | 2019-01-07 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
| 1245754043 | Green River Medical Clinic, LLC | Clinic/Center | 315 Robert Rose Dr Ste F, Murfreesboro, TN 37129-6361 | 2017-08-02 |
| 1235669680 | Uhs Ventures | Clinic/Center | 1130 Middle Creek Rd Ste 290, Sevierville, TN 37862-3051 | 2017-06-19 |
| 1477087658 | Urgent Care Enterprise LLC | Clinic/Center | 5304 Cane Ridge Rd, Antioch, TN 37013-3839 | 2017-04-14 |
| Find all providers with the same taxonomy | ||||
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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.