SAMANTHA G ADDISON (NP) – Family Nurse Practitioner, NPI 1053684332

SAMANTHA G ADDISON (NP) is a healthcare provider. based in Kingsport, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024169884 (VA). The NPI Number for SAMANTHA G ADDISON (NP) is 1053684332

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA G ADDISON (NP)
NPI
1053684332
Phone
(423) 224-3250
Address
999 EXECUTIVE PARK BLVD
Enumeration Date
16 February 2012
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2765236715
Graduation Year
2011 (15 years ago)
PAC ID
6204095391
Group Practice PAC ID
8123291739
Professional Enrollment ID
I20120308000717
Address ID
VA242192760BI323XXSQXX301
Telehealth
Yes

Contacts

Secure Messaging
saddison5262@balladhealth.medalliesdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

8,307 NURSE PRACTITIONER in VA

Provider Addresses for SAMANTHA G ADDISON (NP)

  • 999 EXECUTIVE PARK BLVD

    SUITE 201

    KINGSPORT, TN 376604632

    Phone: (423) 224-3250

    Fax: (423) 224-3258

    Type: Mailing

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

  • 280 VIRGINIA AVE NE

    SUITE 107

    NORTON, VA 242731538

    Phone: (276) 679-5390

    Fax: (276) 679-5395

    Type: Location

  • 671 Highway 58 E

    Norton, VA 242733007

    Phone: (276) 679-5874

    Type: Location

  • 743 Island Rd

    Bristol, VA 242017403

    Phone: (276) 469-4200

    Type: Location

  • 323 Cloverleaf Sq # 1

    Big Stone Gap, VA 242192760

    Phone: (276) 523-6715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,080.

Total Amount is formed as General ($1,080) + Research ($0) + Ownership ($0) = $1,080.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($354).

Total Amount

$1,080

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,080

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120308000717INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes19479$0
J1100Injection, dexamethasone sodium phosphate, 1 mg17012$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11671$0
84443Blood test, thyroid stimulating hormone (tsh)9866$0
80061Blood test, lipids (cholesterol and triglycerides)9562$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123291739View full group profile
NameSpecialtyState
-TN
-TN
General SurgeryMD
Pulmonary Disease, Internal MedicineTN
G A S T R O E N T E R O L O G YTN
N E U R O S U R G E R YIL
Nurse PractitionerTN
-TN
Physician AssistantKY
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

Where can patients find SAMANTHA G ADDISON (NP)'s NPI?
You can confirm SAMANTHA G ADDISON (NP) with NPI 1053684332; it appears in the national provider directory.
Is SAMANTHA G ADDISON (NP)'s NPI currently valid?
The extract we use shows SAMANTHA G ADDISON (NP) as active.
What does SAMANTHA G ADDISON (NP) treat or focus on?
Patients typically see SAMANTHA G ADDISON (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SAMANTHA G ADDISON (NP) practice in Tennessee?
You will see Kingsport, Tennessee on file for SAMANTHA G ADDISON (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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