Holston Medical Group, Pc is a
Internal Medicine - Sports Medicine based in Johnson City, Tennessee. Holston Medical Group, Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3019 Peoples Street, Condo 300, Johnson City, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(423) 461-2100.
NPI number for Holston Medical Group, Pc is 1205554664 and their current mailing address is Po Box 9, Kingsport, Tennessee. Holston Medical Group, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205554664.
Healthcare Provider's Profile
Full Name | Holston Medical Group, Pc |
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Type | Facility |
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Speciality | Internal Medicine - Sports Medicine |
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Location | 3019 Peoples Street, Johnson City, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205554664
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 08/19/2022
Medical Identifiers
Medical identifiers for Holston Medical Group, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205554664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holston Medical Group, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holston Medical Group, Pc Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2066 | Holston Medical Group, Pc 3019 Peoples Street, Condo 300, Johnson City, TN 37604 Ph: (423) 461-2100 |
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