Holly Renee Nummerdor, DO - Medicare Family Medicine in Kingsport, TN

Holly Renee Nummerdor, DO is a medicare enrolled "Family Medicine" physician in Kingsport, Tennessee. Her current practice location is 1242 W Shipley Ferry Rd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 239-7300.

Holly Renee Nummerdor is licensed to practice in Tennessee (license number 5826) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114504545.

Contact Information

Holly Renee Nummerdor, DO
1242 W Shipley Ferry Rd,
Kingsport, TN 37663-3323
(423) 239-7300
(423) 239-7607

Map and Direction




Physician's Profile

Full NameHolly Renee Nummerdor
GenderFemale
SpecialityFamily Medicine
Location1242 W Shipley Ferry Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114504545
  • Provider Enumeration Date: 03/24/2021
  • Last Update Date: 07/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840691549
  • Enrollment ID: I20210701003060

Medical Identifiers

Medical identifiers for Holly Renee Nummerdor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114504545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5826 (Tennessee)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Holly Renee Nummerdor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holly Renee Nummerdor, DO
Po Box 3889,
Johnson City, TN 37602-3889

Ph: (423) 794-5742
Holly Renee Nummerdor, DO
1242 W Shipley Ferry Rd,
Kingsport, TN 37663-3323

Ph: (423) 239-7300

Reviews and Comments


Family Medicine Doctors in Kingsport, TN

Mary Axelrad, MD
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Phone: 423-239-5141    Fax: 423-239-4869
Douglas J. Rose, M.D.
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Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
Dr. Chad Bates, M.D.
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Dr. Edward Monty Stirman, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-323-6200    Fax: 423-323-6593
Dr. Anthony Tin-lung Ng, D.O.
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Phone: 423-857-7000    
Jerry Miller, MD
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Practice Location: 105 W Stone Dr, Ste 3a, Kingsport, TN 37660
Phone: 423-392-6200    
Ms. Lesley Ann Jones, MD
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Medicare: Medicare Enrolled
Practice Location: 2012 Brookside Dr, Ste 6, Kingsport, TN 37660
Phone: 423-247-0462    Fax: 423-247-0465

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.