HOLSTON MEDICAL GROUP PC
HOLSTON MEDICAL GROUP PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1831110667, based in Kingsport, TN. The organization lists 15 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 105 W STONE DR 3A, Kingsport, TN 37660. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Physical/occupational Therapy Group In Private Practice
- PAC ID
- 8224935754
Enrolled in Medicare 4 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Tennessee | O20031215000268 | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Tennessee | O20031216000416 | Part B Supplier - Clinic/group Practice |
| Virginia | O20040107000794 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20120809000616 | Dme Supplier - Physician - Family Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Physical/occupational Therapy Group In Private Practice. There are 4 separate enrolment records across 2 states (TN, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | primary |
| 208000000X | Pediatrics Physician | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 208M00000X | Hospitalist Physician | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | — | — | |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 104100000X | Social Worker | — | — | |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 207Y00000X | Otolaryngology Physician | — | — | |
| 2085B0100X | Body Imaging Physician Body Imaging | — | — | |
| 363A00000X | Physician Assistant | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1831110667 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 21, 2006 |
| Last updated | Nov 6, 2025 |
| Status | Active |
| Practice address |
105 W STONE DR 3A Kingsport, TN 37660 (423) 392-6200 Fax (423) 392-6583 |
| Mailing address |
PO BOX 9 Kingsport, TN 37662 |
| Other identifiers |
3720182
· Medicaid (TN) 3720183 · Medicaid (TN) 3720184 · Medicaid (TN) 3720181 · Medicaid (TN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 3 | 1 | 1 | 1 | 0 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 6 | 1 | 2 | 1 | 0 | 6 | 3 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.